Birth Outcomes Among People with Hepatitis C in Pregnancy - Three U.S. States, 2018-2021
- PMID: 38416334
- PMCID: PMC11060891
- DOI: 10.1007/s10995-024-03917-3
Birth Outcomes Among People with Hepatitis C in Pregnancy - Three U.S. States, 2018-2021
Abstract
Introduction: There are limited and conflicting data regarding the impact of hepatitis C in pregnancy on adverse birth outcomes.
Methods: Using the Surveillance for Emerging Threats to Pregnant People and Infants Network (SET-NET), a large surveillance cohort, we describe birth outcomes among a cohort of people with HCV in pregnancy in total and by reported substance use.
Results: Among 1418 infants, 89% were born to people with reported substance use during pregnancy. The proportion born preterm was 20%, 13% were small-for-gestational age and 34% of term infants required intensive care.
Conclusions: Assessments of recent changes to recommendations for HCV screening in pregnancy should evaluate the impact on maternal access to care for both HCV treatment as well as comorbidities such as substance use disorder which may contribute to adverse birth outcomes.
Keywords: Adverse pregnancy outcomes; Hepatitis C; Preterm birth; Substance use.
© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
Conflict of interest statement
References
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- Centers for Disease Control and Prevention (2023). Viral Hepatitis Surveillance 2021. https://www.cdc.gov/hepatitis/statistics/2021surveillance/index.htm.
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- National Center for Health Statistics, Centers for Disease Control and Prevention (2022). March 1, 2022). National Vital Statistics System. Retrieved 3/31/2022 from https://www.cdc.gov/nchs/nvss/births.htm.
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- Stokkeland K, Ludvigsson JF, Hultcrantz R, Ekbom A, Hoijer J, Bottai M, & Stephansson O (2017). Pregnancy outcome in more than 5000 births to women with viral hepatitis: A population-based cohort study in Sweden. European Journal of Epidemiology, 32(7), 617–625. 10.1007/s10654-017-0261-z. - DOI - PMC - PubMed
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