{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T07:35:50Z","timestamp":1773732950728,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T00:00:00Z","timestamp":1613433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The aim of this study was to investigate the impact of maternal hepatitis B virus (HBV) status on pregnancy complications and neonatal outcomes for women undergoing assisted reproductive technology (ART). A total of 7,011 pregnancies achieved by ART were included from a population\u2010based database involving 523,111 pregnancies. Exposures of hepatitis B surface antigen (HBsAg) and hepatitis B e antigen (HBeAg) among pregnant women were routinely tested at the first antenatal visit for all pregnancies. We collected pregnancy complications (e.g., gestational diabetes mellitus [GDM], intrahepatic cholestasis of pregnancy [ICP]), neonatal outcomes and confounding variables from the same database. Univariate and multivariate analyses by adjusting confounders were conducted to evaluate the impact of maternal HBV infection. Prevalence of HBsAg seropositivity (HBsAg+) was 11.34% (95% CI 10.6\u201312.1) and that of HBsAg and HBeAg co\u2010seropositivity (HBsAg+HBeAg+) was 2.55% (2.1\u20133.0) among included population. Compared with HBsAg\u2212group, ICP risk in the HBsAg+group was higher (4.03% vs. 1.79%; adjusted odds ratio [aOR] 2.49, 1.65\u22123.77). Similarly, ICP prevalence in the HBsAg+HBeAg+ group was higher than that in the HBsAg\u2212HBeAg\u2212 group (6.47% vs. 1.61%; aOR 4.78, 2.28\u20139.98). No associations were found between maternal HBV infection (i.e., HBsAg+, HBsAg+HBeAg+, or HBsAg+HBeAg\u2212) and other adverse outcomes for women undergoing ART (i.e., GDM, pre\u2010eclampsia, placental previa, premature separation of placenta, premature rupture of membranes, preterm birth and low birthweight) in this study. In conclusion, maternal HBV infection (HBsAg+or HBsAg+HBeAg+) probably increase ICP risk, but may not associate with other pregnancy complications or neonatal outcomes for pregnant women who underwent ART.<\/jats:p>","DOI":"10.1111\/jvh.13472","type":"journal-article","created":{"date-parts":[[2021,1,16]],"date-time":"2021-01-16T09:31:22Z","timestamp":1610789482000},"page":"613-620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Impact of maternal infection with hepatitis B virus on pregnancy complications and neonatal outcomes for women undergoing assisted reproductive technology treatment: A population\u2010based study"],"prefix":"10.1111","volume":"28","author":[{"given":"Yiquan","family":"Xiong","sequence":"first","affiliation":[{"name":"Chinese Evidence\u2010based Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunrong","family":"Liu","sequence":"additional","affiliation":[{"name":"Chinese Evidence\u2010based Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiyao","family":"Huang","sequence":"additional","affiliation":[{"name":"Chinese Evidence\u2010based Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"Chinese Evidence\u2010based Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yana","family":"Qi","sequence":"additional","affiliation":[{"name":"Chinese Evidence\u2010based Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guanhua","family":"Yao","sequence":"additional","affiliation":[{"name":"Xiamen Health Commission Xiamen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Sun","sequence":"additional","affiliation":[{"name":"Xiamen Health Commission Xiamen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongyao","family":"Qian","sequence":"additional","affiliation":[{"name":"Xiamen Health Commission Xiamen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lishan","family":"Ye","sequence":"additional","affiliation":[{"name":"Xiamen Health and Medical Big Data Center Xiamen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Liu","sequence":"additional","affiliation":[{"name":"Xiamen Health and Medical Big Data Center Xiamen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiushi","family":"Xu","sequence":"additional","affiliation":[{"name":"Xiamen Health and Medical Big Data Center Xiamen China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kang","family":"Zou","sequence":"additional","affiliation":[{"name":"Chinese Evidence\u2010based Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8839-6705","authenticated-orcid":false,"given":"Jing","family":"Tan","sequence":"additional","affiliation":[{"name":"Chinese Evidence\u2010based Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6554-7088","authenticated-orcid":false,"given":"Xin","family":"Sun","sequence":"additional","affiliation":[{"name":"Chinese Evidence\u2010based Medicine Center West China Hospital Sichuan University Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,16]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"WHO.Hepatitis B 18 July 2019.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/hepatitis\u2010b. 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