A 28 year old Raji was HbsAg positive during her first pregnancy 8 years ago. She was asymptomatic and had regular check ups with a Hepatologist. Rani is now 32 weeks pregnant with the following lab parameters : LFT Normal, HbsAg Positive, HbeAg Negative, HBV DNA 90,000 copies/ml. Her first child was given hepatitis B immunoglobulin and Vaccination soon after bih and the child is HBsAg negative. Which of the following statement is true about the current scenario?
The patient can be monitored without antivirals and the baby should be given immunoglobulin and active immunisation soon after delivery
Very high risk of hepatitis B transmission to the baby
Entecavir is safe in pregnancy and should be staed as early as possible to mother
Antiviral therapy against hepatitis B is contraindicated in pregnancy
The patient can be monitored without antivirals and the baby should be given immunoglobulin and active immunisation soon after delivery