Pathway to hep B protection for baby

You order standard antenatal tests, including serology for syphilis, rubella, HIV and hepatitis B. These show that she is hepatitis B surface antigen positive.

After discussion with the microbiologist, added tests for hepatitis B e-antigen and core antibody are positive and liver function tests are normal.

This is consistent with chronic hepatitis B infection. Although Katy is asymptomatic, there is a risk of infection for Katy’s baby which can be reduced with appropriate antenatal and postnatal care (see ASID Perinatal Guidelines: