Young woman

Women's Health Testing

Hepatitis B Virus Screening

Hepatitis B Virus can be acute or chronic. Acute infection is a short-term illness that happens in the first 6 months after a person is infected. The infection can clear up completely in a few weeks without treatment.1

About 90% of pregnant women with acute hepatitis B virus infection will pass the virus to their babies. Between 10% and 20% of women with chronic infection will do so.1

supporting image

ACOG Guidelines2 recommend screening for:

  • Sexually active persons who are not in a long-term, mutually monogamous relationship (e.g., persons with more than one sex partner during the previous 6 months)
  • Persons seeking evaluation or treatment for a sexually transmitted disease (STD)
  • Current or recent injection-drug users
  • Health-care personnel and public-safety workers who are potentially exposed to blood or other infectious body fluids
  • Persons with diabetes younger than age 60 years as soon as feasible after diagnosis
  • Persons with diabetes who are age 60 years or older at the discretion of the treating clinician based on increased need for assisted blood glucose monitoring in long-term care facilities, likelihood of acquiring hepatitis B infection, its complications or chronic sequelae, and likelihood of immune response to vaccination
  • Persons with end-stage renal disease, including patients receiving hemodialysis
  • Persons with HIV infection; and persons with chronic liver disease
  • Household contacts and sex partners of hepatitis B surface antigen-positive persons
  • Clients and staff members of institutions for persons with developmental disabilities
  • International travelers to countries with high or intermediate prevalence of chronic HBV infection
  • All adults in the following settings:
    • STD treatment facilities
    • HIV testing and treatment facilities
    • Facilities providing drug-abuse treatment and prevention services
    • Health-care settings targeting services to injection-drug; correctional facilities; end-stage renal disease programs
    • Facilities for chronic hemodialysis patients
    • Institutions and nonresidential daycare facilities for persons with developmental disabilities
    • Any person seeking protection from HBV infection


  1. American College of Obstetricians and Gynecologists. Hepatitis B and Hepatitis C in pregnancy. Frequently Asked Questions FAQ093. 2013 Nov
  2. American College of Obstetricians and Gynecologists. Well Women Recommendations. High-Risk Factors. Available at: