Perinatal Transmission of Hepatitis C Virus

You answered:

A Compared with vaginal delivery, elective Cesarean section has been documented as an effective method to decrease vertical HCV transmission. Thus, elective cesarean section is recommended for all pregnant women with HCV infection and a detectable HCV RNA level.

This answer is incorrect. Prospective cohort studies comparing Cesarean section with vaginal delivery as a contributing factor for mother-to-child HCV transmission have shown contradictory results. Because there is no clear-cut benefit of performing elective Cesarean section in this setting, in the United States, elective Cesarean section is not recommended for prevention of vertical HCV transmission.

Choose another answer:

B The risk of vertical HCV transmission is lower in women with HCV infection who are co-infected with HIV than for those women with HCV infection only.
C Controlled trials have demonstrated that treatment of HCV infection with ribavirin (Copegasys or Rebetol) and interferon during pregnancy is safe and effective in reducing vertical HCV transmission.
D Hepatitis C antibody testing of her infant during the first 6 to 9 months after birth may not accurately determine the presence or absence of HCV infection.

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