Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2000-12-1
pubmed:abstractText
A large cohort of rhesus-negative women in Ireland were inadvertently infected with hepatitis C virus following exposure to contaminated anti-D immunoglobulin in 1977-8. This major iatrogenic episode was discovered in 1994. We studied 36 women who had been infected after their first pregnancy, and compared them to an age- and parity-matched control group of rhesus-positive women. The presence of hepatitis C antibody was confirmed in all 36 by enzyme-linked immunosorbent assay and by recombinant immunoblot assay, while 26 (72%) of the cohort were HCV-RNA-positive (type 1b) on PCR testing. In the 20 years post-infection, all members of the study group had at least one pregnancy, and mean parity was 3.5. They had a total of 100 pregnancies and 85 of these went to term. There were four premature births, one being a twin pregnancy, and 11 spontaneous miscarriages. One miscarriage occurred in the pregnancy following HCV infection. There were two neonatal deaths due to severe congenital abnormalities in the PCR-positive women. Of the children born to HCV-RNA positive mothers, only one (2.3%) tested positive for the virus. Significant portal fibrosis on liver biopsy was confined to HCV-RNA-positive mothers apart from one single exception in the antibody-positive HCV-RNA-negative group. Comparison with the control group showed no increase in spontaneous miscarriage rate, and no significant difference in obstetric complications; birth weights were similar for the two groups.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1460-2725
pubmed:author
pubmed:issnType
Print
pubmed:volume
93
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
597-601
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:10984554-Adult, pubmed-meshheading:10984554-Case-Control Studies, pubmed-meshheading:10984554-Congenital Abnormalities, pubmed-meshheading:10984554-Female, pubmed-meshheading:10984554-Fetal Death, pubmed-meshheading:10984554-Fibrosis, pubmed-meshheading:10984554-Hepacivirus, pubmed-meshheading:10984554-Hepatitis C, Chronic, pubmed-meshheading:10984554-Humans, pubmed-meshheading:10984554-Iatrogenic Disease, pubmed-meshheading:10984554-Infant, Newborn, pubmed-meshheading:10984554-Infant, Premature, pubmed-meshheading:10984554-Infectious Disease Transmission, Vertical, pubmed-meshheading:10984554-Liver, pubmed-meshheading:10984554-Parity, pubmed-meshheading:10984554-Pregnancy, pubmed-meshheading:10984554-Pregnancy Complications, Infectious, pubmed-meshheading:10984554-RNA, Viral, pubmed-meshheading:10984554-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:10984554-Rh Isoimmunization, pubmed-meshheading:10984554-Rho(D) Immune Globulin, pubmed-meshheading:10984554-Twins
pubmed:year
2000
pubmed:articleTitle
Pregnancy and pregnancy outcome in hepatitis C type 1b.
pubmed:affiliation
Departments of Medicine, Pathology, and Statistics, Cork University Hospital, and University College Cork, Cork, Ireland.
pubmed:publicationType
Journal Article