Let’s talk about HIV first. If the female is already pregnant and is HIV positive, then usually we follow the protocol on how to maintain the HIV positive pregnancy. If one of the partners has HIV, and they’re planning the pregnancy, that’s a different story. There’s something we can do when it comes to men, but we cannot do the same when it comes to women.
Hepatitis, it depends on which kind of hepatitis, because there are two types of hepatitis – B and C. Both can be either sexually transmitted or during the cosmetics procedures or dentistry. From my experience, I’d say that mainly through dentistry, and poor sterilization of the equipment which is the most common cause. Hepatitis is not a bad diagnosis, we can still manage IVF. With HIV, it depends on which partner is infected. What if a woman gets infected with hepatitis during pregnancy? If the hepatitis was contracted during pregnancy, from being infected to developing an actual disease we still have some time. Usually, the incubation period of hepatitis C may be up to several months, and in hepatitis B, it is up to one month. Then, we have acute hepatitis, and this will depend on the person itself, it’s not specific because everyone has a different course of the disease. For acute hepatitis, there is no treatment.
What we do is only the supervision of the patient, and usually, this patient has to be supervised by infectious diseases doctor, and gynaecologist, afterwards, there are certain things that we need to do. For instance, if that is hepatitis B, then we have to vaccinate the newborn within the first 12 hours after birth. If that’s hepatitis C, we have certain tasks we need to do, to find out what is the genotype of the virus, and what treatment we can provide. I would advise before you even plan the pregnancy you should check whether you’ve been vaccinated for hepatitis B before if not, I would advise getting vaccinated. Hepatitis B vaccine protects you your entire life, and you should remember that there is no treatment for hepatitis B.
As stated by the European Association for the Study of the Liver (EASL), we should prescribe the interference, that helps the immune system to attack the virus, as well as, the liver, and it is contraindicated in pregnancy.