Research Article

Antiviral Therapy for a Postpartum Flare in Women with Chronic HBV Infection Shortens the ALT Recovery Time and Reduces Hepatitis Re-Flare Rates within 4 years

Table 1

Baeseline characteristics of PT-G and NPT-G.

Baeseline characteristicsGroup 1: NPT-G (n = 49) M (P25, P75)Group 2: PT-G (n = 103) M (P25, P75)t/Z/x2

Age (years)28 (26, 30.5)29 (27, 32)1.5450.122
BMI (kg/m2)23.91 (21.94, 26.02)24.84 (23.05, 26.95)1.5920.114
WBC (×109/L)8.60 (7.45, 9.70)8.91 (7.89, 9.90)1.3300.184
HGB (g/L)118 (112, 125)121 (113, 126)1.3250.185
PLT (×109/L)194.00 (170.00, 228.00)197.50 (171.75, 226.75)0.4270.669
ALT (U/L)18.50 (14.50, 23.00)19.50 (14.20, 25.70)0.3200.749
AST (U/L)18 (17.10, 22.00)19.10 (15.90, 7.90)0.1440.886
TBIL (umol/L)6.50 (5.40, 7.90)6.00 (5.20, 7.90)−0.9040.336
DBIL (umol/L)1.50 (1.10, 1.90)1.40 (1.10, 1.80)−0.7290.466
ALB (g/L)38.20 (1325.80, 1706.70)37.00 (35.30, 38.70)−2.9740.003
HBeAg (S/CO)1509.60 (1325.80, 1706.70)1543.16 (1376.86, 1696.36)0.3940.693
HBcAb (S/CO)9.89 (8.47, 10.99)9.71 (8.78, 10.49)−0.2240.823

HBV DNA (log IU/mL)
Baseline8.23 (7.68, 8.23)8.23 (7.94, 8.23)−0.6500.516
Intrapartum8.20 (7.38, 8.23)3.81 (3.36, 4.54)
HBV DNA median fall0.08 (0.00, 0.48)4.08 (3.52, 4.58)8.687

Parity1.5410.214
Primiparityn = 19 (38.78%)n = 51 (49.51%)
multiparityn = 30 (61.22%)n = 52 (50.49%)

Type of anti-HBV therapy
Telbivudinen = 96 (93.20%)
Tenofovirn = 7 (6.80%)
Postpartum hepatitis flare37 (75%)71 (69%)
No postpartum hepatitis flare12 (24%)32 (31%)

ALT recovery time (postpartum hepatitis flare women)
≤12 w4 (11.1%)23 (34.8%)x2 = 5.5790.018
>12 w32 (88.8%)43 (65.2%)
≤26 w16 (44.4%)44 (66.7%)x2 = 4.7490.029
>26 w20 (55.6%)22 (33.3%)

ALT, alanine aminotransferase; AST, aspartate aminotransferase; TBil, total bilirubin; DBIL, direct bilirubin; HBeAg, hepatitis B e antigen; HBsAg, hepatitis B surface antigen; HBV, hepatitis B virus; HBV DNA, hepatitis B deoxyribonucleic acid; SD, standard deviation; ULN, upper limit of normal; WBC, white blood cell; PLT, platelet; HGB, hemoglobin; ALB, albumin.