title: Re-evaluation of the true rate of hepatitis C virus mother-to-child transmission and its novel risk factors based on our two prospective studies.
abstract: OBJECTIVE
  To re-evaluate the true hepatitis C virus (HCV) mother-to-child transmission (MTCT) rate and its novel risk factors.
  
  
  METHODS
  A comparative study based on our own two prospective studies done during the two periods, 'early' (1989-1994) and 'recent' (1995-2004).
  
  
  RESULTS
  All carrier infants became HCV RNA-positive within 3 months after birth. The MTCT and de-carrier rates were, respectively, higher (14.2%) and lower (16.7%) in the recent period, although liver dysfunction of carrier infants was found very frequently (66.7%) in both groups. MTCT occurred significantly when the maternal viral load, serum alanine aminotransferase (sALT) levels and blood loss at delivery were, respectively, more than 10(5) copies/mL, 110 IU/L, and 500 g. No MTCT was found when elective cesarean section was done.
  
  
  CONCLUSIONS
  The true HCV MTCT and de-carrier rates were found to be much higher and lower than those reported previously. The maternal liver dysfunction (sALT >or=110 IU/mL) and blood loss (>or=500 g) at delivery are the next risk factors to maternal viral load (>or=10(5) copies/mL) for MTCT.
authors: Department of Obstetrics and Gynecology, Dokkyo Medical University School of Medicine, Tochigi, Japan.
authors: Ayako
authors: A
authors: Hayashida
authors: Noriyuki
authors: N
authors: Inaba
authors: Kyoko
authors: K
authors: Oshima
authors: Masayoshi
authors: M
authors: Nishikawa
authors: Akiko
authors: A
authors: Shoda
authors: Shihou
authors: S
authors: Hayashida
authors: Masami
authors: M
authors: Negishi
authors: Fujiyuki
authors: F
authors: Inaba
authors: Michiyo
authors: M
authors: Inaba
authors: Ichio
authors: I
authors: Fukasawa
authors: Hiroshi
authors: H
authors: Watanabe
authors: Hiroyoshi
authors: H
authors: Takamizawa
mesh_terms: D000410:Alanine Transaminase / Q000097:blood; D005260:Female; D016174:Hepacivirus; D006526:Hepatitis C / Q000097:blood / Q000635:transmission* / Q000821:virology; D018937:Hepatitis C Antibodies / Q000097:blood; D006801:Humans; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000097:blood / Q000821:virology*; D011446:Prospective Studies; D012367:RNA, Viral / Q000097:blood
chemical_list: D018937:Hepatitis C Antibodies; D012367:RNA, Viral; D000410:Alanine Transaminase