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3127 Medicine

A 28 year old Raji was HbsAg positive during her first pregnancy 8 years ago. She was asymptomatic and had regular check ups with a Hepatologist. Rani is now 32 weeks pregnant with the following lab parameters : LFT Normal, HbsAg Positive, HbeAg Negative, HBV DNA 90,000 copies/ml. Her first child was given hepatitis B immunoglobulin and Vaccination soon after bih and the child is HBsAg negative. Which of the following statement is true about the current scenario?

AVery high risk of hepatitis B transmission to the baby
BEntecavir is safe in pregnancy and should be staed as early as possible to mother
CAntiviral therapy against hepatitis B is contraindicated in pregnancy
DThe patient can be monitored without antivirals and the baby should be given immunoglobulin and active immunisation soon after delivery
Medicine
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