New England Journal of Medicine · 1970 · 78 citations · 3 references
MedicineMaternal HealthObstetricsInfant HealthMaternal-fetal MedicineReproductive ImmunologyInfant Infectious DiseasesMaternal-fetal Immune InteractionsPerinatal InfectionPlacental ImmunologyPregnancy ImmunologyViral HepatitisMaternal-fetal Transmission AssessmentNeonatal HepatitisPerinatal Transmission Of PathogensPlacental Barrier DysfunctionPlacental Barrier ImmunologyPlacental Immune BarrierViral Hepatitis PathogenesisViral Hepatitis Transmission
In two mothers hepatitis-associated-antigen-positive, viral hepatitis developed one month post partum. Their infants were also positive for the antigen; one infant remained positive for over seven months without signs of hepatitis. The other had biochemical signs of hepatitis but remained clinically well. In two other women antigen-positive viral hepatitis developed late in pregnancy, and they were positive at the time of delivery. The umbilical-cord bloods and the serums of the neonates were negative for the antigen. One of these infants became positive at seven weeks of age. These data suggest that hepatitis-associated antigen need not cross the placental barrier to be transmitted from mother to infant, and that it may be present in an infant for long periods without causing hepatitis.
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Joan P. Giles, Robert W. McCollum, L. W. Berndtson et al. · New England Journal of Medicine · 1969 · 300 citations