Document 0538 DOCN M9550538 TI [Transmission of hepatitis C virus from mother to infant] DT 9505 AU Martin PH; Denis F; Departement de Bacteriologie-Virologie, CHU Dupuytren, Limoges,; France. SO Pathol Biol (Paris). 1994 Jun;42(6):593-601. Unique Identifier : AIDSLINE MED/95158097 AB The transmission of hepatitis C virus (VHC) by percutaneous exposure to blood contamination is well documented but account for only 50 to 60% of hepatitis C cases. The transmission route for sporadic cases remains controversial and transmission by sexual contact and vertical transmission have been implicated. Antibodies to HCV are detected in 0 to 4.3% of pregnant women varying across geographic regions or origins. Passively transmitted maternal anti-HCV are detected in most of the new-born babies and persist during 6 to 18 months. The estimated risk of vertical transmission varies widely in the literature probably because of methodological considerations. But the detection of HCV-RNA in the blood of children has confirmed vertical transmission of HCV from mother to infant in mothers coinfected or not with human immunodeficiency virus type 1. In case of vertical transmission, some children develop an acute hepatitis or a chronic carrier state with or without chronic liver disease. In this case, the course of HCV RNA and transaminases might reflect the fluctuating viral replication. Some other children, infected at birth, seem to clear the HCV virus. The babies' HCV-antibodies are detected in some infected children but not in all. The follow up of HCV-seropositive pregnant women and their offsprings with more reliable methods should clarify the clinical importance, the rate of transmission and the factors which influence it. DE English Abstract Female Hepatitis C/EPIDEMIOLOGY/*TRANSMISSION Human Infant, Newborn Maternal-Fetal Exchange Pregnancy Prenatal Exposure Delayed Effects Prevalence JOURNAL ARTICLE REVIEW REVIEW LITERATURE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).