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A 24-year-old woman presents at week 20 of her pregnancy. She is referred because she has chronic hepatitis B with a viral load of 400,000 IU/ml HBV-DNA.
Which measures beyond simultaneous active-passive immunization of the newborn immediately after delivery would you recommend to this patient in order to prevent vertical mother-baby transmission?
A. Breastfeeding
B. Delivery via caesarian section
C. Treatment with tenofovir from week 24 of pregnancy
D. None of the above
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