Which of the following is the best mode of management of a newborn born to a mother with Hepatitis B infection?
Newborn Management for Hepatitis B Positive Mother
The primary goal in managing a newborn born to a mother with Hepatitis B infection is to prevent vertical transmission of the virus. This involves providing both immediate passive immunity and stimulating active immunity.
Rationale for Best Management Mode
- Passive Immunity: Hepatitis B Immunoglobulin (HBIG) provides pre-formed antibodies, offering immediate protection against the virus.
- Active Immunity: The Hepatitis B vaccine stimulates the newborn's own immune system to develop long-term protection.
- Timing: Standard medical guidelines recommend administering both HBIG and the first dose of the Hepatitis B vaccine concurrently, ideally within 12 hours of birth. This combined approach is highly effective in preventing infection.
- Antiviral Monotherapy: While antiviral medications like Lamivudine or Adefovir might be considered in specific high-risk situations (e.g., high maternal viral load), they are typically not the primary or sole management strategy for the newborn immediately after birth. The combination of HBIG and the vaccine is the universally recommended initial intervention.
Therefore, administering Hepatitis B Immunoglobulin (HBIG) and the Hepatitis B vaccine at birth is the most effective and recommended management strategy for a newborn exposed to Hepatitis B.
Important Questions from Neonatal Care
- Which one of the following statements is correct regarding physiology of breastfeeding?
- If a baby does not begin breathing in response to tactile stimulation, then the baby is assumed to be in:
- Consider the following conditions :Primary apnea in a neonate is characterized by which one of the above conditions?
Response to tactile stimulation Heart Rate Blood Pressure Tone A Yes Normal Normal Normal B Yes Falling Normal Decreasing C No Falling Falling Decreasing D No Rising Normal Normal Consider the following statements about human breast milk :
1. 75% of breast milk content is water.
2. Breast milk is poor in taurine and cysteine.
3. Breast milk is particularly rich in omega 2 and omega 6 fatty acids.
4. High lactose content of breast milk helps in absorption of calcium.
Which of the statements given above are correct?
Which of the following are signs of good attachment during breastfeeding?
1. The baby's nose is at the level of the nipple.
2. The baby's mouth is wide open.
3. The baby's chin touches the breast.
4. The baby's lower lip is everted.
Select the correct answer using the code given below:
