IMPACT OF VIRAL HEPATITIS ON MATERNAL HEALTH AND RISK FACTORS FOR MATERNAL MORTALITY

Viral hepatitis is a significant contributor to maternal morbidity and mortality worldwide. Physiological changes during pregnancy, including immunosuppression and increased liver stress, increase susceptibility to severe complications. This retrospective study analyzed 50 pregnant women diagnosed with viral hepatitis between 2018 and 2024, assessing the impact of different hepatitis types on maternal outcomes. Hepatitis B was the most common type, while Hepatitis E had the highest case-fatality rate. Major complications included liver dysfunction, coagulopathy, and maternal death. Delayed diagnosis and inadequate monitoring were identified as key risk factors for poor outcomes. Early detection, timely intervention, and multidisciplinary management are essential strategies to reduce maternal morbidity and mortality associated with viral hepatitis.病毒性肝炎是全球范围内孕产妇发病与死亡的重要诱因之一。孕期的生理变化（包括免疫抑制与肝脏负荷加重）会提升孕产妇罹患严重并发症的风险。本回顾性研究分析了2018年至2024年间确诊为病毒性肝炎的50例孕产妇病例，评估不同分型肝炎对孕产妇结局的影响。乙型肝炎为最常见的分型，而戊型肝炎的病死率最高。主要并发症包括肝功能异常、凝血功能障碍及孕产妇死亡。诊断延误与监测不足被确定为不良结局的关键危险因素。早期筛查、及时干预与多学科管理是降低病毒性肝炎相关孕产妇发病与死亡的核心策略。