Re: R: Hepatitis C

From: ainsron@msn.com
Wed Jun 14 17:19:35 2000


I agree there is no reason for C/S except for usual obstetrical indications. A New England Journal article suggests a 7% transmission rate at birth, but there is no evidence that C/S would lower it and it is highest in women who also have HIV. Even though breast feeding is allowed and minimal risk, they still need to be told that there is a small risk of transmission through breast milk. Probably has the same risk of transmission just living in the same household.

>Vag. delivery, no indication in literature for C-section; breast feeding is
>allowed as well
>>
>> *I have a pregnant patient at approximately 35 weeks gestation.
>>
>> She has Hepatitis C.
>>
>> Vaginal delivery OK? Or C-section?
>> Thank you.
>>
>> Steven Crawford, MD
>>

--
Ronald E. Ainsworth, MD




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