The management of HCV infected pregnant women and their children European paediatric HCV network

Lucy Pembrey, Marie Louise Newell, Pier Angelo Tovo, A. Amoroso, E. Bevilaqua, F. Asensi-Botet, A. Pereda, V. Balossini, G. Bona, M. Zaffaroni, A. Bandelloni, A. Coscia, C. Fabris, S. Aime, C. Belloni, G. Bossi, B. Salati, C. Boucher, W. Buffolano, K. ButlerL. Cabero Roura, J. M.Bertran Sanges, P. Cigna, L. M. Ciria, C. Servera Ginard, G. Claret Teruel, C. Fortuny, O. Coll, A. Corrias, R. Ledda, S. Floris, A. De Maria, J. Echeverria, G. Cilla, G. Faldella, M. Lanari, E. Tridapalli, V. Venturi, B. Fischler, A. B. Bohlin, S. Lindgren, G. Lindh, V. Giacomet, M. Merlo, C. Figini, P. Erba, A. Viganò, S. Hannam, G. Mieli-Vergani, A. Hatzakis, C. Inchley, H. O. Fjaerli, A. Maccabruni, M. Marcellini, M. R. Sartorelli, P. Martin Fontelos, A. Mazza, J. Y.Q. Mok, A. Mûr, M. Viñolas, D. M. Paternoster, P. Grella, S. Polywka, I. Quinti, A. M. Casadei, A. Rojahn, A. Berg, R. Rosso, S. Ferrando, D. Bassetti, J. Ruiz Contreras, A. Manzanares, A. Ruiz Extremera, F. Salvini, G. V. Zuccotti, T. Schmitz, I. Grosch-Wörner, C. Feiterna Sperling, T. Piening, A. Vegnente, R. Iorio, A. Versace, L. Lazier, E. Palomba, C. Gabiano, L. Balbo, A. Zanetti, E. Tanzi

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Abstract

Background/Aims: As evidence accumulates relating to mother-to-child (vertical) transmission of hepatitis C virus (HCV), it is timely to draw up guidelines for the clinical management of HCV infected pregnant women and their children. Methods: A review of evidence from the European Paediatric HCV Network (EPHN) prospective study of HCV infected women and their children and other published studies. Meeting of EPHN clinical experts to reach a consensus on recommendations for management. Each recommendation was graded according to the level of evidence. Results/conclusions: Although several risk factors for mother-to-child transmission have been identified, none are modifiable and there are currently no interventions available to prevent vertical transmission of HCV. Data on timing of loss of maternal antibodies and reliability of diagnostic tests inform the optimum follow-up schedule for confirmation or exclusion of infection in children born to HCV infected women. Based on the current evidence, routine antenatal screening for HCV should not be introduced and neither elective caesarean section nor avoidance of breastfeeding should be recommended to HCV infected women to prevent mother-to-child transmission of HCV. HCV/HIV co-infected women should follow existing HIV guidelines. © 2005 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.
Original languageEnglish
Pages (from-to)515-525
JournalJournal of Hepatology
Volume43
Issue number3
DOIs
Publication statusPublished - 1 Jan 2005

Keywords

  • Clinical management
  • Diagnosis
  • Follow-up
  • Hepatitis C
  • Mother-to-child transmission
  • Paediatric
  • Pregnancy

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    Pembrey, L., Newell, M. L., Tovo, P. A., Amoroso, A., Bevilaqua, E., Asensi-Botet, F., Pereda, A., Balossini, V., Bona, G., Zaffaroni, M., Bandelloni, A., Coscia, A., Fabris, C., Aime, S., Belloni, C., Bossi, G., Salati, B., Boucher, C., Buffolano, W., ... Tanzi, E. (2005). The management of HCV infected pregnant women and their children European paediatric HCV network. Journal of Hepatology, 43(3), 515-525. https://doi.org/10.1016/j.jhep.2005.06.002