{"title":"妊娠HBV/HCV携带者的频率及其内科会诊状况：日本的一项全国性调查","authors":"Manabu Ogoyama, Shunji Suzuki, Shin-ichi Hoshi, Akihiko Sekizawa, Yoko Sagara, Isamu Ishiwata, Tadaichi Kitamura","doi":"10.1111/jog.16351","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>The present study investigated the prevalence of pregnant hepatitis B (HBV) and hepatitis C (HCV) carriers and their internal medicine consultation rates in Japan.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A questionnaire was sent to 1931 delivery facilities regarding their delivery management policies and care of pregnant HBV and HCV carriers who delivered between January and December 2023, including internal medicine consultation rates.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Responses were received from 1077 facilities (55.8%). The prevalence of HBV was 0.14% in Japanese women (406/288847) and 3.00% (196/6527) in non-Japanese women. The prevalence of HBV in 12 Japanese teenagers (≤19 years) was 0.53%, which was significantly higher than that in adult pregnant women (0.14%) (<i>p</i> < 0.001). HBe antigen was positive in 12.6% of pregnant HBV carriers. The overall prevalence of HCV was 0.23% (684/295374), with similar rates in Japanese and non-Japanese women (0.23% vs. 0.31%), and 3.1% (21/684) had high HCV-RNA levels. Internal medicine consultations were performed on 64.8% (295/455) of known HBV carriers before pregnancy and on 66.7% (98/147) of those diagnosed during pregnancy. Regarding HCV, consultation rates were 10.5% (68/645) before pregnancy and 69.2% (27/39) during pregnancy.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The prevalence of pregnant hepatitis virus carriers in Japan is approximately 0.2% for both HBV and HCV, with a high HBV rate in teenagers. Only 60%–70% of patients receive proper internal medicine consultations, highlighting the need for increased awareness among patients, physicians, and healthcare systems.</p>\n </section>\n </div>","PeriodicalId":16593,"journal":{"name":"Journal of Obstetrics and Gynaecology Research","volume":"51 7","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jog.16351","citationCount":"0","resultStr":"{\"title\":\"Frequency of pregnant HBV/HCV carriers and status of their internal medicine consultation: A nationwide survey in Japan\",\"authors\":\"Manabu Ogoyama, Shunji Suzuki, Shin-ichi Hoshi, Akihiko Sekizawa, Yoko Sagara, Isamu Ishiwata, Tadaichi Kitamura\",\"doi\":\"10.1111/jog.16351\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>The present study investigated the prevalence of pregnant hepatitis B (HBV) and hepatitis C (HCV) carriers and their internal medicine consultation rates in Japan.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A questionnaire was sent to 1931 delivery facilities regarding their delivery management policies and care of pregnant HBV and HCV carriers who delivered between January and December 2023, including internal medicine consultation rates.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Responses were received from 1077 facilities (55.8%). The prevalence of HBV was 0.14% in Japanese women (406/288847) and 3.00% (196/6527) in non-Japanese women. The prevalence of HBV in 12 Japanese teenagers (≤19 years) was 0.53%, which was significantly higher than that in adult pregnant women (0.14%) (<i>p</i> < 0.001). HBe antigen was positive in 12.6% of pregnant HBV carriers. The overall prevalence of HCV was 0.23% (684/295374), with similar rates in Japanese and non-Japanese women (0.23% vs. 0.31%), and 3.1% (21/684) had high HCV-RNA levels. Internal medicine consultations were performed on 64.8% (295/455) of known HBV carriers before pregnancy and on 66.7% (98/147) of those diagnosed during pregnancy. Regarding HCV, consultation rates were 10.5% (68/645) before pregnancy and 69.2% (27/39) during pregnancy.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The prevalence of pregnant hepatitis virus carriers in Japan is approximately 0.2% for both HBV and HCV, with a high HBV rate in teenagers. Only 60%–70% of patients receive proper internal medicine consultations, highlighting the need for increased awareness among patients, physicians, and healthcare systems.</p>\\n </section>\\n </div>\",\"PeriodicalId\":16593,\"journal\":{\"name\":\"Journal of Obstetrics and Gynaecology Research\",\"volume\":\"51 7\",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-06-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jog.16351\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Obstetrics and Gynaecology Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jog.16351\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Obstetrics and Gynaecology Research","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jog.16351","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Frequency of pregnant HBV/HCV carriers and status of their internal medicine consultation: A nationwide survey in Japan
Aim
The present study investigated the prevalence of pregnant hepatitis B (HBV) and hepatitis C (HCV) carriers and their internal medicine consultation rates in Japan.
Methods
A questionnaire was sent to 1931 delivery facilities regarding their delivery management policies and care of pregnant HBV and HCV carriers who delivered between January and December 2023, including internal medicine consultation rates.
Results
Responses were received from 1077 facilities (55.8%). The prevalence of HBV was 0.14% in Japanese women (406/288847) and 3.00% (196/6527) in non-Japanese women. The prevalence of HBV in 12 Japanese teenagers (≤19 years) was 0.53%, which was significantly higher than that in adult pregnant women (0.14%) (p < 0.001). HBe antigen was positive in 12.6% of pregnant HBV carriers. The overall prevalence of HCV was 0.23% (684/295374), with similar rates in Japanese and non-Japanese women (0.23% vs. 0.31%), and 3.1% (21/684) had high HCV-RNA levels. Internal medicine consultations were performed on 64.8% (295/455) of known HBV carriers before pregnancy and on 66.7% (98/147) of those diagnosed during pregnancy. Regarding HCV, consultation rates were 10.5% (68/645) before pregnancy and 69.2% (27/39) during pregnancy.
Conclusions
The prevalence of pregnant hepatitis virus carriers in Japan is approximately 0.2% for both HBV and HCV, with a high HBV rate in teenagers. Only 60%–70% of patients receive proper internal medicine consultations, highlighting the need for increased awareness among patients, physicians, and healthcare systems.
期刊介绍：
The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology.
The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
