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Purusotam Raj Shedain
Department of Community Medicine and Public Health, IOM/TU, Kathmandu, Nepal
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Gehanath Baral
Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal
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Kamal Raj Sharma
Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal
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Subhash Dhital
National Public Health Laboratory, Department of Health Services, Teku, Kathmandu, Nepal
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Madhu Dixit Devkota
Department of Community Medicine and Public Health, IOM/TU, Kathmandu, Nepal
Abstract
Background:
The prevalence of hepatitis B infection is heterogeneous and ubiquitous. This study aimed to identify
the prevalence of the infection among the pregnant women who attended in a tertiary care hospital, transmission of
the infection in their newborn and associated risk factors.
Methods:
A one year prospective study was conducted. Mother’s venous blood was collected for the hepatitis B
serological test during the antenatal care or before delivery; the newborn’s cord blood was also collected for the
HBsAg.
Results:
A total 16400 pregnant women were tested; of them 53 were HBsAg positive. The total prevalence of
the infection was 0.32% among the pregnant: 0.5% among the indigenous and 0.2% in other than indigenous. The
infection was significantly high in the indigenous group compare to other than indigenous [2.596 (1.475-4.569),
p=.001]. Thirty-two out of 53 hepatitis B positive pregnant were delivered in the hospital, of them 75% (n=24) were
indigenous and 25% (n=8) were other than indigenous. Eight out of 32 were highly infectious (HBeAg+), of them
majority (75%) were indigenous ethnicities. Twenty-one out of 32 were anti-HBe reactive, among which majority
were indigenous ethnicities (76.2%). Six out of eight babies, born with HBeAg reactive mothers, were infected
(75%), of which majority were indigenous ethnicities (67%). In total, one-fifth of the newborn delivered were HBsAg
positive (18.8%).
Conclusions:
The prevalence of hepatitis B infection among the total pregnant was low. The proportion of the
infection in the indigenous ethnicity was significantly high compared to other ethnic group, which shows that the
infection was clustered among the indigenous people.
Keywords:
Hepatitis B; indigenous people; newborn transmission; Nepal.