Risks of Viral Hepatitis B Transmission in Mother-to-Infant of Pregnant Women Carriers of Chronic Viral Hepatitis B in Cote d’Ivoire

Abstract Background Despite the proven links between oral health status and adverse pregnancy outcomes, oral examination is not systematically integrated into prenatal examinations in Côte d’Ivoire. In addition, there are no prevention messages specifically targeted at pregnant women. Objective: To assess the oral health of pregnant women in Côte d’Ivoire. Methods A cross-sectional survey was conducted at the Maternal and Child Health Department of the National Public Health Institute in Abidjan. The data collected were: age, education level, marital status, source of income, trimester of pregnancy, gestational age, oral hygiene habits and the fact that they whether or not received oral health information. A clinical examination was conducted to assess oral hygiene (OHIS index), periodontal condition (CPI index), dental condition (DMFT index), as well as the presence of epulis, erosion or dental mobility. Frequencies and counts were calculated for the different variables in the study. Results A total of 207 women were observed. The age range was 15 to 44 years with 14.0% under 19 years old. The majority were in couple (76.8%), multi-gesture (77.3%), and more than half had no education (52.2%) or source of income (56.0%); 50.7% snacked between meals and 33.3% had vomiting. They brushed their teeth at least twice a day (70.0%) and had not changed their oral hygiene habits (77.3%) during this pregnancy. Only 3.4% had information on oral health conditions during pregnancy. The frequency of caries was 75.4%, dental erosions 13.0%, gingivitis 57.0%, periodontitis 6.8% and epulis 3.4%. Conclusions The results suggest the integration of systematic dental consultation into prenatal consultations in order permit the sensitization of these women, screening and management of their oral conditions. Key messages Oral diseases of pregnant women are a reality without their knowledge in Côte d’Ivoire. A systematic dental visit is essential during prenatal consultations in Côte d’Ivoire.

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Obtaining informed consent from HIV-infected pregnant women, Abidjan, Côte d'Ivoire

AIDS ◽

10.1097/01.aids.0000131349.22032.63 ◽

2004 ◽

Vol 18 (10) ◽

pp. 1486-1488 ◽

Cited By ~ 7

Author(s):

Koumavi Didier Ekouevi ◽

Renaud Becquet ◽

Ida Viho ◽

Laurence Bequet ◽

François Dabis ◽

...

Keyword(s):

Informed Consent ◽

Pregnant Women ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Cote D’Ivoire ◽

Côte D'ivoire

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Molecular Characterization of Hepatitis B Virus Circulating in Asymptomatic and Symptomatic Carriers in Côte d’Ivoire from 2010 to 2013

British Microbiology Research Journal ◽

10.9734/bmrj/2014/7851 ◽

2014 ◽

Vol 4 (8) ◽

pp. 831-840 ◽

Cited By ~ 1

Author(s):

Doumbia Moussa

Keyword(s):

Hepatitis B Virus ◽

Hepatitis B ◽

Molecular Characterization ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Cote D’Ivoire ◽

Côte D'ivoire ◽

B Virus

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Chronic viral hepatitis B and D in pregnant women: course and outcomes (review)

Journal Infectology ◽

10.22625/2072-6732-2021-13-2-29-37 ◽

2021 ◽

Vol 13 (2) ◽

pp. 29-37

Author(s):

M. D. Akhmedova ◽

Sh. A. Tashpulatova ◽

G. A. Ikhtiyarova ◽

M. T. Karimova

Keyword(s):

Hepatitis B ◽

Pregnant Women ◽

Viral Hepatitis ◽

Vascular Wall ◽

High Viral Load ◽

Chronic Viral Hepatitis ◽

Current Data ◽

Hepatitis D ◽

Increased Risk ◽

Viral Hepatitis B

Hepatitis B is most common among young people, which is explained by the ways of infection – parenteral, sexual and vertical. Mother-to-child transmission is the main route of infection for children in areas where the hepatitis B virus (HBV) is endemic.The available current data on the course and outcomes of chronic viral hepatitis B are contradictory in pregnant women. Some authors argue that the exacerbation of chronic hepatitis B is more common in the first and third trimesters in pregnant women, and with an increase in gestation, there is a deterioration in liver function and an increased risk of fulminant liver failure. Other researchers note a more severe course in the second half of pregnancy or in the first months after delivery.High replication of the virus increases the frequency of gestational diabetes mellitus, hemostatic disorders, the threat of termination of pregnancy, gestosis, fetoplacental insufficiency, risk of bleeding in childbirth, premature birth, untimely discharge of amniotic fluid, and the birth of premature babies.Children become chronic carriers of HBsAd in neonatal hepatitis. These findings suggest that transplacental infection before birth may be a mechanism contributing to higher rates of failed prevention in newborns born to women with a high viral load.We could not find data on the features of the course and outcomes of viral hepatitis D in pregnant women in the available sources,. At the same time, it is known that mixed infection is more severe.Polymorphisms of genes associated with the regulation of the state of the vascular wall can have a significant impact on the course of infection.The high prevalence of hepatitis D infection in different parts of the world indicates the need for a comprehensive study of this disease, followed by the development of special programs for the prevention, early diagnosis and treatment of hepatitis B and D in pregnant women.

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