Infection with the Hepatitis B virus in pregnant women in the Gynecology and Obstetrics Department of the Gabriel Touré University Hospital Center

• Published in: Le Mali medical Vol. 37; no. 2; p. 56
• Main Authors: Doumbia, K, Sow, H, Dicko, M Y, Sanogo, S D, Traore, A, Tounkara, M S, Bocoum, A, Fane, S, Diakite, F L, Konate, D, Teguette, I, Traore, Y, Konaté, A, Diarra, M T, Maiga, M Y
• Format: Journal Article
• Language: French
• Published: Mali 2022
• Subjects: Pregnant woman; VHB; Mali; Femme enceinte; HBV
• ISSN: 1993-0836

The purpose of this study was to study hepatitis B virus infection in pregnant women. This was a one-year descriptive cross-sectional study carried out in the Gynecology-Obstetrics Department of the Gabriel Touré University Hospital. During this period, 796 pregnant people were seen in antenatal consultations. Ween rolled 500 pregnant women in whom the search for HBs Ag was carried out, a rate of 62.81%. Of these pregnant 85 had HBs Ag a prevalence of 17%. The average age of these women was 26.9±5.6 years. Our patients were paucipare sin 52.9%. Of these, 17.7% had a family history of chronic liver disease and 37.6% had once given birth in a referral health centre. Blood transfusion, polygamous focus and tattooing/scarification were the risk factors associated with HBs Ag carriage. Alarming clinical signs were absent in 95.2% of cases. Hepatic cytolysis and anaemia were foundin 28.8% and 76.3% of cases respectively; viral replication was observed in 13.6% of pregnant women with a high viral loadin 37.2%. Abdominal ultra sound was normal in 90.8% of cases and esophageal varices were present in 6% of women who performed eso-gastroduduedenal fibroscopy. Fibrosis was significant according to an APRI score in 3.4%. The prevalence of HBs A in pregnant women followed remains high.