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test results from my wife, now she is 6 months pregnant, please explain what it means and what I should do 
Hi @Helmy,
Would you be able to translate your post into English? We have some great experts who can help though they cannot speak Bahasa.
terimakasih sudah menjawab
saya bingung gimama caranya 
Tidak masalah. Google terjemahannya luar biasa. 
“No Problem. Google translate is amazing.”
what about my wife’s test results?
What should I do so that my wife and future baby are fine
why is no one answering my question?
Melihat hasil lab istri anda, istri anda positif hepatitis B dan sebaiknya ketika melahirkan nanti, bayi anda segera divaksin hepatitis B dan vaksin HBIG.
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Hello @Helmy
In Australia, we administer the Hep B vaccines to newborns within 24 hours of birth to prevent HBV transmission.
Reference: Infants born to mothers who are hepatitis B surface antigen–positive are recommended to receive both hepatitis B vaccine and HBIG
I’m guessing this is your first child and you want the best for your family. You can discuss this with the mother’s healthcare provider to ensure the best outcome.
I wish you both all the best and congratulations to your family. 
Currently pregnant with my second child, first found out that my first child was positive for HBsAg and had been vaccinated with HBGB until 9 months, thank God, when my first child was tested, she was 9 months old, it was negative… and now pregnant with my second child, the doctor suggested an HBV DNA test and the results are above… The doctor will administer medication at 28 weeks, and I was surprised that the doctor also suggested a fibro scan on August 27… Was my doctor’s action correct?
@ThomasTu @Sumaya
Hi @ Helmy
I understand your concern about the use of Fibroscan during pregnancy.It’s ultrasound based techniques for diagnostic assessment of liver injury in patients with chronic liver diseases. It’s no longer contraindicated to use in pregnant women.I think that your doctor have the reasons and correctly decision making.According to WHO guidelines for CHB treatment, Fibroscan is used to assess the fibrotic staging in order to consider continuous treatment in pregnant women regardless of HBV DNA or ALT levels.The indications for who to treat pregnant women with CHB as follows below. I hope this may help you .
chul_chan
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Hi @helmy,
Thanks for asking your question. With such a high viral load, guidelines would recommend that your wife be put on antiviral treatment to lower the risk of transmission to the baby (as well as birth dose vaccination and possibly HBIG).
Hope this helps and good luck with the upcoming birth.
Thomas
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If HBV DNA and HBEAG are active, will it definitely cause fibrosis or cirrhosis? I’m very worried about my wife’s condition in the future. now my wife doesn’t have any symptoms… thank you
@ThomasTu
Hi @Helmy,
No, fibrosis and cirrhosis are not inevitable. Antiviral medications will reduce the progression of liver disease.
Thomas
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By taking anti-viral medication, fibrosis and cirrhosis can be avoided, is that what you mean? Tomorrow, August 7, I have a control appointment with my doctor and he will give me medicine to start taking anti-virals. I’m sorry if my language is limited because I use Google Translate
Yes, correct. I hope you have a good meeting with your doctor and maybe they can answer any further questions you have for your wife as well.
TT
I use free health facilities from the Indonesian government, where the services are all basic and the doctors seem difficult to chat with and ask further questions, It’s just that the last control was last month and the schedule for 28 weeks’ gestation started therapy on the 7th of August tomorrow, to be exact. Thank you Dr @thomastu Here my lay questions are very much appreciated I hope you and all Hep B researchers are blessed with health and succeed in creating a cure for Hep B… Thank You
I want to tell you about my experience, my wife had reactive hbeag and hbv dna was detected 1，07x108(log 8). initial control after the test is completed the doctor plans to administer the drug at the age of 28 gestational age… and now that I’m 28 weeks old, I went back to the public hospital in my area and it turned out that the doctor had changed, not the previous one. In that public hospital, there are lots of internal medicine doctors taking turns. The doctor who previously planned therapy for 28 weeks of gestation stopped after birth until breastfeeding was finished, but the one who served me today prescribed medication for life without stopping, which really confused me. and what’s more, I’m not sure the current doctor doesn’t seem to understand what to do considering the doctor called more than 2 people asking about how my treatment was going without asking about my history and just jumping to conclusions… Is tdf safe for breastfeeding mothers? I’m worried about the wrong care and risk to my baby
Thank You @ThomasTu @availlant
Hi @Helmy,
That might have been frustrating witnessing that. But you should not have any issues breastfeeding your baby. There are patients on here who have breastfeed their babies and had no issues. I hope some of them could share their experience with you. If it will make you more comfortable try seeking a second opinion from a provider that is experienced in treating HBV but more so in pregnant women. Best, Bansah1
What I’m worried about is if I’m breastfeeding and still consuming TDF, is consuming TDF while breastfeeding safe? @Bansah1
You should be fine. I don’t see why? Others can chime in too.