# Acute hepatitis B virus infection in pregnancy: a case report of three patients with comorbid anxiety and their clinical outcomes

## TL;DR

This case report describes three pregnant women with acute hepatitis B and anxiety, showing they recovered physically but needed mental health support.

## Contribution

The study highlights the importance of psychosocial support in managing acute hepatitis B during pregnancy.

## Key findings

- All three patients achieved HBsAg clearance and normal liver function with supportive therapy.
- Despite biomedical recovery, all patients experienced significant anxiety about maternal-fetal health.
- The study advocates for integrating mental health care in managing hepatitis B during pregnancy.

## Abstract

This case series reports three pregnant women with acute hepatitis B virus (AHB) infection, exploring their clinical outcomes and comorbid anxiety. All three patients presented with abnormal liver function and positive HBV markers. They received supportive therapy (liver-protective, enzyme-lowering agents, etc.), achieving HBsAg clearance and virological cure, with normal liver function during follow-up (one patient lost to follow-up). Despite favorable biomedical outcomes, all experienced significant anxiety over maternal-fetal health and disease progression. This study emphasizes that AHB in pregnancy, though usually self-limited, requires integrating psychosocial support into multidisciplinary management to address perinatal mental health, supporting WHO’s 2030 viral hepatitis elimination goal.