Hepatitis B in pregnancy — DRCOG MCQ
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Correct answer: A — Arrange viral-load, e-marker testing and specialist maternity assessment
The best answer is “Arrange viral-load, e-marker testing and specialist maternity assessment”. A positive booking result requires prompt confirmatory and infectivity assessment, including hepatitis-B e markers and HBV DNA, through the maternity and specialist pathway. These findings determine maternal follow-up, possible third-trimester antiviral therapy and neonatal vaccine with or without HBIG. Mode of birth and feeding are not dictated by the result alone.
Reference: NHS Infectious diseases in pregnancy screening programme handbook: https://www.gov.uk/government/publications/infectious-diseases-in-pregnancy-screening-programme-handbook/nhs-infectious-diseases-in-pregnancy-screening-programme-handbook