Pregnancy complications associated with hepatitis C: data from a 2003-2005 Washington state birth cohort

Am J Obstet Gynecol. 2008 Jul;199(1):38.e1-9. doi: 10.1016/j.ajog.2008.03.052. Epub 2008 May 19.


Objective: The objective of the study was to determine the effect of hepatitis C virus (HCV) on selected maternal and infant birth outcomes.

Study design: This population-based cohort study using Washington state birth records from 2003 to 2005 compared a cohort of pregnant women identified as HCV positive from birth certificate data (n = 506) to randomly selected HCV-negative mothers (n = 2022) and drug-using HCV-negative mothers (n = 1439).

Results: Infants of HCV-positive mothers were more likely to be low birthweight (odds ratio [OR], 2.17; 95% confidence interval [CI] 1.24, 3.80), to be small for gestational age (OR, 1.46; 95% CI, 1.00, 2.13), to need assisted ventilation (OR, 2.37; 95% CI, 1.46, 3.85), and to require neonatal intensive car unit (NICU) admission (OR, 2.91; 95% CI, 1.86, 4.55). HCV-positive mothers with excess weight gain also had a greater risk of gestational diabetes (OR, 2.51; 95% CI, 1.04, 6.03). Compared with the drug-using cohort, NICU admission and the need for assisted ventilation remained associated with HCV.

Conclusion: HCV-positive pregnant women appear to be at risk for adverse neonatal and maternal outcomes.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Body Mass Index
  • Cohort Studies
  • Female
  • Gestational Age
  • Hepatitis C / complications*
  • Humans
  • Infant, Low Birth Weight
  • Infant, Newborn
  • Pregnancy
  • Pregnancy Complications, Infectious*
  • Pregnancy Outcome*
  • Retrospective Studies
  • Risk Factors
  • Substance Abuse, Intravenous
  • United States