- Briefly describe a specific question, or set of related questions, about a health care test or treatment that this program should consider.
Our topic nomination is Hepatitis B in Pregnancy. The following is a list of clinical questions practitioners consider when managing such casesHow is acute Hepatitis B managed in pregnant womenoSpecific testsoInterpretation of testsHow are pregnant patients whom are presumed chronic Hepatitis B carriers treatedHow can the risk of vertical transmission of Hepatitis B virus be reducedoMaternal screeningoNeonate immunoprophylaxisAre there special considerations for intrapartum care in the context of maternal hepatitis infectionWhat is the safety of invasive prenatal diagnostic procedures for patients with chronic hepatitisIs breastfeeding contraindicated for infants of women with hepatitisWhat is the role of immunotherapy in the treatment of chronic Hepatitis B in pregnancyPatients Pregnant women at risk and diagnosed with acute or chronic Hepatitis B.Benefits and harms We are interested in the management of acute and chronic Hepatitis B in pregnant women and preventing prenatal and perinatal vertical transmission.
- Describe why this topic is important.
This topic is important because of the longterm risks Hepatitis B poses to otherwise healthy women and infants. There are a variety of ways to reduce Hepatitis B transmission and manage diagnosed patients that need to be considered in a systematic review to be able to provide clinicians with evidencebased options for treatment.
- How will an answer to your research question be used or help inform decisions for you or your group?
Clinicians will be more equipped to make appropriate treatment decisions for pregnant women with Hepatitis B based on the needs of the individual patient resources and limitations unique to the institution or type of practice. Recommendations based on the systematic review will be used by clinicians to optimize treatment and improve outcomes for these patients.
- Other Information About You: (optional)
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- Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)
- Professional society
- If you are you making a suggestion on behalf of an organization, please state the name of the organization
- American College of Obstetricians and Gynecologists
- Please tell us how you heard about the Effective Health Care Program
- Stephanie Chang MD MPH Agency for Healthcare Research and Quality
