Can a couple both having hepatitis B have a child?

Generally, if both partners have hepatitis B but their conditions are stable and proper preventive measures are taken, they can have children. However, if either partner is in the active phase of the disease, pregnancy should be postponed. If there are any concerns, it is recommended to seek medical advice in advance. The detailed explanation is as follows:

If both partners have stable hepatitis B, normal liver function, and low viral load, the risk of fetal infection can be significantly reduced through preventive measures such as timely hepatitis B vaccination and standardized antiviral treatment during pregnancy. Administering hepatitis B immunoglobulin and vaccine to the newborn immediately after birth further ensures the baby's health, making it safe to conceive under these circumstances.

If one or both partners are in the active phase of hepatitis B, with abnormal liver function and high viral load, immediate conception is not recommended without preventive interventions. Pregnancy in this state may increase the burden on the liver, leading to disease progression, and also raises the risk of transmitting the hepatitis B virus to the fetus. Therefore, treatment should first be undertaken to control the condition, and pregnancy planned only after key indicators have stabilized.

Couples in which both partners have hepatitis B should visit a specialized clinic in advance to assess their health status and develop an individualized pre-pregnancy plan. During pregnancy, regular monitoring of liver function and viral load is essential, and all preventive measures must be strictly followed according to medical guidance to ensure maternal and infant health.