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INTRODUCTION

Gestational diabetes Gestational diabetes is a type of diabetes that starts during pregnancy. If you have diabetes, your body isn't able to use the sugar in your blood as well as it should. This causes the level of sugar in your blood to become higher than normal. Gestational diabetes affects from 1% to 3% of all pregnant women. It usually develops in the second trimester. Most often, gestational diabetes goes away after the baby is born. High blood sugar levels can be unhealthy for both you and your baby. If the diabetes isn't treated, your baby may be more likely to have problems at birth. For example, your baby may have a low blood sugar level, jaundice, or your baby may weigh much more than normal. Gestational diabetes can also affect your health. For instance, if your baby is very large, you may have a more difficult delivery or you may need a cesarean section. Gestational diabetes also increases your risk of developing preeclampsia, which is a condition that can be serious if left untreated. Hepatitis B Hepatitis B is an infectious inflammatory illness of the liver caused by hepatitis B virus (HBV). Originally known as "serum hepatitis", the disease has caused epidemics in parts of Asia and Africa, and it is endemic in China. More than 2 billion people have been infected, and this includes 350 million chronic carriers. The virus is transmitted by exposure to infectious blood or body fluids such as semen and vaginal fluids, while viral DNA has been detected in the saliva, tears, and urine of chronic carriers. Other risk factors for developing HBV infection include working in a health care setting, transfusions, and dialysis, acupuncture, tattooing, extended overseas travel and residence in an institution. However, Hepatitis B viruses cannot be spread by holding hands, sharing eating utensils or drinking glasses, kissing, hugging, coughing, sneezing, or breastfeeding. The acute illness causes liver inflammation, vomiting, jaundice, and (rarely) death. Chronic hepatitis B may eventually cause cirrhosis and liver cancer. The infection is preventable by vaccination. Blood tests for these proteins and antibodies are used to diagnose the infection.

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