Research Article

Hepatitis B Infection and Mother-to-Child Transmission in Haiphong, Vietnam: A Cohort Study with Implications for Interventions

Table 2

Characteristics of HBV-infected women and their infants according to maternal HBeAg status.

Participant’s characteristicsTotalWomen HBeAg (-)Women HBeAg (+) value

Maternal characteristics at baseline
Number of women with data18314142
Age (years), median (IQR)30 (26-33)30 (26-33)29 (26-34)0.59
HBV infection known before pregnancy, (%)48 (26.2)24 (17.0)24 (57.1)<0.001
Partner’s HBV status, (%)
 HBsAg positive13 (7.1)7 (5.0)6 (14.3)0.04
 HBsAg negative162 (88.5)126 (89.3)36 (85.7)
 Does not known8 (4.4)8 (5.7)0
Having family members infected with HBV, (%)23 (12.6)17 (12.1)6 (14.3)0.7
ALT (U/L), median (IQR)32 (27-40)29 (25-36)91 (34-108)<0.001
HBV DNA level at 7th month of gestation, (%)
 Detectable48 (26.2)14 (9.9)34 (81.0)<0.001
 >200,000 IU/mL24 (13.1)2 (1.4)22 (52.4)<0.001
Maternal characteristics at delivery
Number of women with data18314142
Under HBV antiviral therapy in last 3 months, (%)31 (16.9)3 (9.7)28 (90.3)<0.001
Mode of delivery, (%)
 Vaginal120 (65.6)95 (67.4)25 (59.5)0.35
 Caesarean63 (34.4)46 (32.6)17 (40.5)
HBV DNA level at delivery, (%)
 Detectable37 (20.2)24 (17.0)13 (31.0)0.35
 ≥200,000 IU/mL6 (3.3)5 (3.5)1 (2.4)0.99
Infant characteristics at birth
Number infants with data18314142
Sex—female, (%)88 (48.1)62 (44.0)26 (61.9)0.04
Weight (kilograms), median (IQR)3.0 (2.8-3.2)2.9 (2.8-3.2)3.0 (2.8-3.3)0.46
Child HBV birth dose vaccination, (%)181 (98.9)139 (98.6)42 (100.0)0.99
Child HBIG immunization, (%)150 (82.0)116 (82.3)34 (81.0)0.85
Positive HBsAg, (%)46 (25.1)27 (19.1)19 (45.2)0.001
Infant characteristics at 6 months of age
Number infants with data17613541
Completed HBV vaccination schedule, (%)71 (40.3)51 (37.8)20 (48.8)0.21
Infant feeding during the last 6 months, (%)
 Breast-fed only90 (51.1)75 (55.6)15 (36.6)0.08
 Bottle-fed only73 (41.5)58 (38.5)22 (51.2)
 Mixed (breast-fed and bottle-fed)13 (7.4)8 (5.9)5 (12.2)
Positive HBsAg, (%)23 (13.1)13 (9.6)10 (24.4)0.01
Infant characteristics at 12 months of age
Number infants with data15011535
Completed HBV vaccination schedule, (%)142 (94.7)108 (93.9)34 (97.1)0.46
Infant feeding during the last 6 months, (%)
 Breast-fed only52 (34.7)42 (36.5)10 (28.6)0.24
 Bottle-fed (and/or other food)47 (31.3)32 (27.8)15 (42.8)
 Mixed (breast-fed + bottle-fed and/or other food)51 (34.0)41 (35.7)10 (28.6)
Positive HBsAg, (%)12 (8.0)6 (5.2)6 (17.1)0.02

HBeAg status was counted on women’s blood test results at second trimester of gestation.