📌 STATION 12: Hepatitis B Positive Mother – Prevention of Vertical Transmission
Candidate role: empathetic counselor · اردو میں جواب دیں
🤱 Mother's query (in Urdu / اردو)
❝ ڈاکٹر صاحب، مجھے hepatitis B ہے۔ مجھے بہت ڈر لگ رہا ہے کہ میرا نیا پیدا ہونے والا بچہ بھی اس بیماری کا شکار ہو جائے گا۔ کیا میں اپنے بچے کو دودھ پلا سکتی ہوں؟ کیا بچے کو بچانے کا کوئی علاج ہے؟ براہ کرم مجھے بتائیں کہ میں کیا کروں تاکہ میرا بچہ محفوظ رہے۔ ❞
Translation: "Doctor, I have hepatitis B. I am very scared that my newborn baby will also get this disease. Can I breastfeed my baby? Is there any treatment to protect the baby? Please tell me what to do so my baby stays safe."
🧑⚕️ EXAMINER (after counseling)The examiner observed your interaction and now asks the following questions:
📝 Self-assessment & examiner scoring — Tick boxes for counseling skills + examiner Q&A. Calculate total score.
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💡 High-yield medical points for Hepatitis B in pregnancy:
• Vertical transmission risk: 70-90% if mother is HBeAg positive; 10-30% if HBeAg negative without prophylaxis.
• Post-exposure prophylaxis (given within 12 hours of birth): Hepatitis B immune globulin (HBIG) 0.5 mL IM + first dose of Hepatitis B vaccine (0.5 mL IM) at different sites.
• Vaccination schedule: Birth (0), 1 month, 6 months (3 doses). Test for HBsAg and anti-HBs at 9-12 months to confirm protection.
• Breastfeeding: Safe after immunoprophylaxis. No contraindication. No increased risk of transmission.
• Mother's treatment: If high viral load (>200,000 IU/mL) in third trimester, antiviral (tenofovir) reduces transmission risk.
• Efficacy: HBIG + vaccine ~90-95% effective in preventing perinatal transmission.