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  • Title: The pregnant hepatitis B carrier: evidence favoring comprehensive antepartum screening.
    Author: Summers PR, Biswas MK, Pastorek JG, Pernoll ML, Smith LG, Bean BE.
    Journal: Obstet Gynecol; 1987 May; 69(5):701-4. PubMed ID: 3574797.
    Abstract:
    The prevalence of hepatitis B surface antigen among 15,399 gravidas screened in the prenatal clinic at Charity Hospital of Louisiana in New Orleans was 0.88%. The race-specific prevalence was 0.56% for whites, 0.62% for blacks, and 8.8% for Orientals. Identifiable risk factors could not be found for approximately half of the hepatitis B surface antigen-positive women. Comprehensive antepartum hepatitis B screening is recommended, based upon the significant risk of perinatal transmission to the neonate and upon the failure of selective screening to identify the majority of maternal hepatitis B surface antigen carriers in our population. The cost-effectiveness of general antepartum screening compares favorably with current blood bank hepatitis screening costs.
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