A Survey of the Current Management of Hepatitis B Virus Infection in Pregnancy among Obstetrics and Gynaecological Medical Trainees in Nigeria
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 11
Abstract
Context: Hepatitis B virus infection is a major public health problem and can be transmitted from mother to child in pregnancy. Vertical transmission could be reduced by maternal antiviral therapy and adequate immunisation of the baby. Objective: To survey the current management of hepatitis B virus infection in pregnancy by Nigerian medical doctors from obstetrics and gynaecology department. Methods: A semi-structured questionnaire was designed for cross-sectional survey of doctors attending update course in 2011 for part I & II fellowship examinations. The questionnaires were filled and then analysed using 2008 Epi Info™ software. Results: A total of 96 (83.5%) of the semi-structured questionnaire were correctly filled and analysed out of the 115 questionnaire distributed. The mean duration of obstetrics and gynaecological practice of respondents in this study was 4.6±3.3 years. Of 29 different hospitals represented in this study, most doctors work at the University Teaching Hospital 66(68.5%) and Federal Medical Centre 17 (17.7%). Forty (41.7%) of the doctors asserted that hepatitis B surface antigens was routinely done in their centre while majority 56 (58.3) confirmed that it was not routinely done in their institution. Most of the hospital for residency training do not have protocol for management of reactive hepatitis B surface antigen in pregnancy as indicated by 71(74.0) doctors. Conclusion: Routine screening for HBV in pregnancy is not done by all doctors in obstetrics and as such is not practiced in all tertiary hospitals in Nigeria and the protocols for management of reactive HBs Ag is not standardized in all hospitals. There is marked variation in the perception of current management of hepatitis B virus infection in Nigeria. Provision of a national guideline, adequate laboratory services and equipping the health institutions will be beneficial in the management of HBV in pregnancy
Authors and Affiliations
Robinson Chukwudi Onoh
Keywords
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