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 2

Comparison between AT-G and NAT-G.

intrapartum characteristicsNAT-G (n = 65) n (%), M (P25, P75)AT-G (n = 38) n (%), M (P25, P75)Z/x2

Age (years)29 (26, 31.5)30 (27, 31.5)Z = 0.5760.564
WBC (×109/L)8.49 (6.84, 9.83)7.86 (6.92, 9.88)Z = 0.2770.782
HGB (g/L)126 (118, 133)124 (112, 132.25)Z = 0.5230.601
PLT (×109/L)188 (167.5, 223.5)178 (155.25, 208.75)Z = −1.5170.129
ALT (U/L)17.7 (13.03, 26.45)20.75 (14.55, 28.48)Z = 1.2670.205
ALT (U/L) PP 6 w62.7 (45.23, 126.05)89.5 (59.88, 174.93)Z = 1.8640.062
ALT (U/L) PP 12 w51.1 (35.1, 78.13)61.3 (28.7, 117.4)Z = 1.0560.291
AST (U/L)20 (16.8, 26.15)21.15 (17.55, 28.280Z = 1.280.200
TBIL (umol/L)7.2 (5.63, 8.4)6.85 (5.23, 8.73)Z = 0.6990.484
DBIL (umol/L)1.5 (1.2, 2.1)1.65 (1.28, 2.03)Z = 0.9260.355
ALB (g/L)37 (34.7, 38.28)34.9 (32.72, 37.13)Z = 3.2680.001
HBeAg (S/CO)1510.53 (1304.9, 1633.23)1517.88 (1184.97, 1633.35)Z = 0.1990.842
HBcAb (S/CO)9.86 (8.58, 10.52)10.12 (9.17, 10.70)Z = 0.8060.421
HBV DNA (log IU/mL)4.46 (3.81, 7.60)4.27 (3.40, 7.36)Z = −0.9140.361

ALT recovery time
≤12 week14 (23.0%)16 (42.1%)x2 = 4.0670.044
>12 week47 (77.0%)22 (57.9%)
≤26 week35 (57.3%)32 (84.2%)x2 = 7.7070.006
>26 week26 (42.6%)6 (15.8%)

ALT re-flare within 4 years
Re-flare (ALT-RF)24 (45.4%)3 (9.68%)x2 = 14.003≤0.001
No re-flare (ALT-NRF)20 (54.6%)28 (90.32%)

PP 6 w, postpartum 6 weeks; PP 12 w, postpartum 12 weeks; 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; WBC, white blood cell; PLT, platelet; HGB, hemoglobin.