Epidemiology of Viral Hepatitis in Pregnant Patients
Objective: To determine the prevalence and epidemiology of viral hepatitis in pregnant patients undergoing cesarean section.
Methodology: It is a prospective cross-sectional study conducted in Obstetrics & Gynae Unit I of Sir Ganga Ram Hospital, Lahore from January 2014 to December 2014. Patients who underwent caesarean delivery having positive viral serology were included in the study. Data was entered and analyzed in SPSS 23. Mean and standard deviation was calculated for quantitative variables like age and qualitative variables were measured in percent and frequency.
Results: Total number of patients underwent caesarean sections during the study period were 2157 and serology for viral hepatitis was positive in 69 patients. The overall prevalence of viral hepatitis in patients undergoing caesarean section was 3.1%; hepatitis C being most common in 2.17% followed by hepatitis B in 0.50%, hepatitis A in 0.23%, hepatitis E in 0.23% of patients and one (0.05%) patient has hepatitis ABCE. Mean age of the patients was 29.6± 4.9 year. Viral hepatitis was most common in 26-30 year of age group and in multipara. Common risk factors accounts; unfiltered drinking water in (81.1%), nose and ear piercing (71%), blood transfusion (49.2%), previous surgeries (40.5%) hepatitis in the family (36.2%) and hepatitis in husband (5.7%). None of the patient or their family member received available vaccination against viral hepatitis.
Conclusion: Prevalence of viral hepatitis especially hepatitis B and C is high in pregnant patients who underwent caesarean delivery.
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