Impact of Screen Time on Fetal Health and Breastfeeding with Hepatitis B - Obstetrics and Gynecology

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Obstetrics and Gynecology


I am a homemaker and currently 26 weeks pregnant.
I spend about six hours a day watching television at home.
Will this affect the health of my fetus? Additionally, is it normal for my vision to become worse (more blurry) during this time? Lastly, I am a carrier of hepatitis B; can I breastfeed on my own? Please help me answer these three questions.
Thank you.

Esther, 20~29 year old female. Ask Date: 2000/12/07

Dr. Lin Zhaopei reply Obstetrics and Gynecology


1.
At 26 weeks of pregnancy, the fetal limbs and organs have entered the developmental stage.
It is best to minimize exposure to radiation, and using a screen filter may be beneficial.

2.
If there is blurred vision, it is important to pay special attention to symptoms such as headaches, elevated blood pressure, proteinuria, or edema.
About 3% of pregnant women may experience preeclampsia, which requires treatment by an obstetrician.
However, prolonged television viewing can also lead to changes in vision.
3.
Most carriers of Hepatitis B are positive for the surface antigen (HBsAg) and do not have the ability to transmit the virus to the next generation.
Infection capability requires the presence of both surface antigen (HBsAg) and e antigen (HBeAg).
The transmission routes include blood, open wounds, and sexual contact, while breastfeeding is generally not considered to pose a risk.

Reply Date: 2000/12/07

More Info


The concerns you have raised about screen time during pregnancy, its potential impact on fetal health, and breastfeeding while being a Hepatitis B carrier are quite important. Let’s address each of your questions in detail.


Impact of Screen Time on Fetal Health
Research on the effects of screen time during pregnancy is still evolving, but excessive screen time can have indirect effects on both maternal and fetal health. Spending long hours in front of screens may lead to a sedentary lifestyle, which is associated with various health issues such as obesity, gestational diabetes, and increased anxiety or depression. These conditions can indirectly affect fetal development.
Moreover, prolonged screen time can lead to poor posture, eye strain, and fatigue, which can contribute to discomfort during pregnancy. While there is no direct evidence linking screen time to fetal health issues, it is advisable to maintain a balanced lifestyle that includes physical activity, proper nutrition, and limited screen exposure. The American College of Obstetricians and Gynecologists recommends that pregnant women engage in at least 150 minutes of moderate-intensity exercise each week, which can help mitigate some of the risks associated with prolonged screen time.


Changes in Vision During Pregnancy
It is common for pregnant women to experience changes in vision, including blurred vision or difficulty focusing. These changes can be attributed to hormonal fluctuations, fluid retention, and changes in blood circulation. The increased blood volume and hormonal changes can lead to swelling of the cornea and alterations in the shape of the eye, which may temporarily affect vision. If you are experiencing significant changes in your vision, it is advisable to consult with an eye care professional to rule out any serious conditions.


Breastfeeding as a Hepatitis B Carrier
As a Hepatitis B carrier, you can breastfeed your baby. The Centers for Disease Control and Prevention (CDC) states that breastfeeding is safe for mothers who are Hepatitis B positive, provided that the infant receives the appropriate vaccinations. It is crucial that your baby receives the Hepatitis B vaccine and, if indicated, Hepatitis B immune globulin (HBIG) within 12 hours of birth. This combination significantly reduces the risk of transmission of the virus from mother to child.

Breastfeeding has numerous benefits for both mother and baby, including providing essential nutrients and antibodies that help protect the infant from infections. However, if you have cracked or bleeding nipples, it is advisable to consult with your healthcare provider, as this could pose a risk for transmission.


Conclusion
In summary, while excessive screen time can have indirect effects on your health during pregnancy, it is essential to balance it with physical activity and other healthy habits. Changes in vision are common during pregnancy, but if you have concerns, seek professional advice. Lastly, as a Hepatitis B carrier, you can safely breastfeed your baby, especially if the appropriate vaccinations are administered. Always consult with your healthcare provider for personalized advice tailored to your specific situation.

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