Acute viral hepatitis on pregnancy care.docVIP

 PAGE \* MERGEFORMAT 7 Acute viral hepatitis on pregnancy care [Abstract] Viral hepatitis is an infectious disease caused by a virus, pathogens are alpha, beta, gamma, delta and 5 of hepatitis E virus, hepatitis B virus in common. Can occur in pregnancy any time. pregnant women the incidence of hepatitis was approximately 6 times the non-pregnant women, while the risk of fulminant hepatitis was 66 times that of non-pregnant women. the incidence of viral hepatitis during pregnancy is about 0.025% to 0.08%. acute viral hepatitis and more hepatic necrosis, and severe hepatitis occurred in late pregnancy, the mortality rate is very high. [Keywords:] acute viral hepatitis of pregnancy care [Influence of pregnancy on viral hepatitis] 1. Pregnant women to increase metabolism, nutrition, increased consumption, the liver burden, vulnerability viral hepatitis, and to the original condition worsened, and the development of severe hepatitis. 2. Trimester of pregnancy induced hypertension were combined, systemic small artery spasm, reduction of hepatic blood flow, liver damage resulting in hepatic necrosis. 3. Pregnant women after hepatitis, easy to chronic hepatitis. Because of increased nutrient needs during pregnancy, lack of glycogen reserves, the recovery is not conducive to disease, especially in pregnancy and childbirth can increase liver damage, pregnancy produce large amounts of endogenous estrogens are inactivated in the liver, liver disease is affect estrogen metabolism, so that retention of estrogen in vivo, and further increase the burden on the liver and affect the healing process to chronic hepatitis. Haemmerli in 1996 reported 887 cases of pregnant women with hepatitis, the mortality rate as high as 10.4%, showing that the virus during pregnancy hepatitis easy to increase. [Nursing] 1. Pregnancy ① make hygiene education, teaching health and disease prevention knowledge, attention to public health and food hygiene t