{"id":"https://openalex.org/W7221814740","doi":"https://doi.org/10.3389/fpubh.2026.1956281","title":"Risk factors for postpartum alanine aminotransferase elevation in women with chronic hepatitis B infection: a systematic review and meta-analysis","display_name":"Risk factors for postpartum alanine aminotransferase elevation in women with chronic hepatitis B infection: a systematic review and meta-analysis","publication_year":2026,"publication_date":"2026-10-14","ids":{"openalex":"https://openalex.org/W7221814740","doi":"https://doi.org/10.3389/fpubh.2026.1956281","pmid":"https://pubmed.ncbi.nlm.nih.gov/42953154","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13713853"},"language":"en","primary_location":{"id":"doi:10.3389/fpubh.2026.1956281","doi":"https://doi.org/10.3389/fpubh.2026.1956281","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1956281","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1956281/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1956281/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076112087","display_name":"Chengxuan Yao","orcid":"https://orcid.org/0000-0002-2829-4640","observed_orcids":["https://orcid.org/0000-0002-2829-4640"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210147332","display_name":"Beijing YouAn Hospital","ror":"https://ror.org/04etaja30","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210147332"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chengxuan Yao","raw_affiliation_strings":["Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022899630","display_name":"Xiang Gao","orcid":"https://orcid.org/0000-0002-3058-4655","observed_orcids":["https://orcid.org/0000-0002-3058-4655","https://orcid.org/0000-0002-2669-0631"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210147332","display_name":"Beijing YouAn Hospital","ror":"https://ror.org/04etaja30","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210147332"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiang Gao","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Beijing YouAn Hospital, Capital Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Beijing YouAn Hospital, Capital Medical University","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158695650","display_name":"Yunxia Zhu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210147332","display_name":"Beijing YouAn Hospital","ror":"https://ror.org/04etaja30","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210147332"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yunxia Zhu","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Beijing YouAn Hospital, Capital Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Beijing YouAn Hospital, Capital Medical University","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071460109","display_name":"Xiaohui Zhang","orcid":"https://orcid.org/0000-0002-4746-4262","observed_orcids":["https://orcid.org/0000-0002-4746-4262"]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210147332","display_name":"Beijing YouAn Hospital","ror":"https://ror.org/04etaja30","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210147332"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiaohui Zhang","raw_affiliation_strings":["Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137125552","display_name":"Shuiweizhi Dai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210147332","display_name":"Beijing YouAn Hospital","ror":"https://ror.org/04etaja30","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210147332"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Shuiweizhi Dai","raw_affiliation_strings":["Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158703965","display_name":"Jinhua Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210147332","display_name":"Beijing YouAn Hospital","ror":"https://ror.org/04etaja30","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210147332"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jinhua Wang","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Beijing YouAn Hospital, Capital Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Beijing YouAn Hospital, Capital Medical University","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158727080","display_name":"Yu Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210147332","display_name":"Beijing YouAn Hospital","ror":"https://ror.org/04etaja30","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210147332"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Yu Chen","raw_affiliation_strings":["Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109480471","display_name":"Huaibin Zou","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]},{"id":"https://openalex.org/I4210147332","display_name":"Beijing YouAn Hospital","ror":"https://ror.org/04etaja30","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210147332"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Huaibin Zou","raw_affiliation_strings":["Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fourth Department of Liver Disease Center, Beijing YouAn Hospital, Capital Medical University","institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5109480471","https://openalex.org/A5158727080"],"corresponding_institution_ids":["https://openalex.org/I183519381","https://openalex.org/I4210147332"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.56872852,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":"1956281","last_page":"1956281"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10340","display_name":"Hepatitis B Virus Studies","score":0.9810000061988831,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10340","display_name":"Hepatitis B Virus Studies","score":0.9810000061988831,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10351","display_name":"Liver Disease Diagnosis and Treatment","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10151","display_name":"Hepatitis C virus research","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-hepatitis-b","display_name":"chronic hepatitis B","score":0.9929999709129333},{"id":"https://openalex.org/keywords/hbeag","display_name":"HBeAg","score":0.8349999785423279},{"id":"https://openalex.org/keywords/hbv-viral-load","display_name":"HBV DNA viral load","score":0.8960000276565552},{"id":"https://openalex.org/keywords/maternal-age","display_name":"maternal age","score":0.906000018119812},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.9490000009536743},{"id":"https://openalex.org/keywords/liver-enzymes","display_name":"liver enzymes","score":0.3919999897480011}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8434000015258789},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5910999774932861},{"id":"https://openalex.org/C2992872382","wikidata":"https://www.wikidata.org/wiki/Q305481","display_name":"Alanine aminotransferase","level":2,"score":0.5727999806404114},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.5559999942779541},{"id":"https://openalex.org/C2780593183","wikidata":"https://www.wikidata.org/wiki/Q6844","display_name":"Hepatitis B virus","level":3,"score":0.48260000348091125},{"id":"https://openalex.org/C2777382497","wikidata":"https://www.wikidata.org/wiki/Q6853","display_name":"Hepatitis B","level":2,"score":0.47110000252723694},{"id":"https://openalex.org/C3020491458","wikidata":"https://www.wikidata.org/wiki/Q131742","display_name":"Chronic hepatitis","level":3,"score":0.4537999927997589},{"id":"https://openalex.org/C2775940106","wikidata":"https://www.wikidata.org/wiki/Q10478733","display_name":"HBeAg","level":5,"score":0.44530001282691956},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4302999973297119},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3767000138759613},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3352000117301941},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3345000147819519},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.3294999897480011},{"id":"https://openalex.org/C2778606649","wikidata":"https://www.wikidata.org/wiki/Q305481","display_name":"Alanine transaminase","level":2,"score":0.3239000141620636},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.3061000108718872},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.2854999899864197},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.27230000495910645},{"id":"https://openalex.org/C2776478404","wikidata":"https://www.wikidata.org/wiki/Q1105187","display_name":"Cochrane Library","level":3,"score":0.26409998536109924},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.2619999945163727},{"id":"https://openalex.org/C2776408679","wikidata":"https://www.wikidata.org/wiki/Q708693","display_name":"Hepatitis C virus","level":3,"score":0.259799987077713},{"id":"https://openalex.org/C2776029263","wikidata":"https://www.wikidata.org/wiki/Q131742","display_name":"Hepatitis","level":2,"score":0.25699999928474426},{"id":"https://openalex.org/C187960798","wikidata":"https://www.wikidata.org/wiki/Q7631152","display_name":"Subgroup analysis","level":3,"score":0.25110000371932983}],"mesh":[{"descriptor_ui":"D000410","descriptor_name":"Alanine Transaminase","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006513","descriptor_name":"Hepatitis B e Antigens","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019694","descriptor_name":"Hepatitis B, Chronic","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D049590","descriptor_name":"Postpartum Period","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.3389/fpubh.2026.1956281","doi":"https://doi.org/10.3389/fpubh.2026.1956281","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1956281","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1956281/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13713853","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13713853/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13713853/pdf/fpubh-14-1956281.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Public Health","raw_type":"Text"},{"id":"pmid:42953154","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42953154","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in public health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:ab5a3b3699724e0b819ab802bd3af718","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/ab5a3b3699724e0b819ab802bd3af718","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Public Health, Vol 14 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpubh.2026.1956281","doi":"https://doi.org/10.3389/fpubh.2026.1956281","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1956281","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1956281/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7221814740.pdf","grobid_xml":"https://content.openalex.org/works/W7221814740.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W2063568759","https://openalex.org/W2173274566","https://openalex.org/W2978348678","https://openalex.org/W2983269905","https://openalex.org/W3039286983","https://openalex.org/W3098555286","https://openalex.org/W3195360948","https://openalex.org/W4205639315","https://openalex.org/W4281293851","https://openalex.org/W4283155232","https://openalex.org/W4285042744","https://openalex.org/W4296031523","https://openalex.org/W4304822865","https://openalex.org/W4313313109","https://openalex.org/W4313584933","https://openalex.org/W4318824669","https://openalex.org/W4324302747","https://openalex.org/W4378717948","https://openalex.org/W4388592763","https://openalex.org/W4395039191","https://openalex.org/W4413865230","https://openalex.org/W7135206875","https://openalex.org/W7140234356","https://openalex.org/W7160020895"],"related_works":["https://openalex.org/W4403702818","https://openalex.org/W4388592763","https://openalex.org/W2791550287","https://openalex.org/W4318824669","https://openalex.org/W2983269905","https://openalex.org/W1999323014","https://openalex.org/W4391613329","https://openalex.org/W2945511294","https://openalex.org/W2037420650","https://openalex.org/W3098555286"],"abstract_inverted_index":{"Background:":[0],"Postpartum":[1],"alanine":[2],"aminotransferase":[3],"(ALT)":[4],"elevation":[5,34,162,190,217],"is":[6,56],"common":[7],"in":[8,47,218],"women":[9,91,219],"with":[10,31,49,92,135,159,183,220],"chronic":[11],"hepatitis":[12,100,115],"B":[13,101,116],"(CHB)":[14],"infection":[15],"and":[16,22,45,70,127,205],"may":[17,226],"adversely":[18],"affect":[19],"maternal":[20,179,224],"recovery":[21],"long-term":[23],"disease":[24],"outcomes.":[25],"However,":[26],"the":[27,50,53],"risk":[28,186,212],"factors":[29,213],"associated":[30,134,182],"postpartum":[32,136,160,188,215],"ALT":[33,130,137,145,161,171,189,208,216],"remain":[35],"inconsistent":[36],"across":[37],"studies.":[38],"Methods:":[39],"We":[40],"conducted":[41],"a":[42,149,156,174,184],"systematic":[43],"review":[44,231],"meta-analysis":[46,97],"accordance":[48],"PRISMA":[51],"guidelines;":[52],"registration":[54],"number":[55],"CRD420251208005.":[57,235],"PubMed,":[58],"Web":[59],"of":[60,85,187],"Science,":[61],"Embase,":[62],"Cochrane":[63],"Library,":[64],"China":[65],"National":[66],"Knowledge":[67],"Infrastructure":[68],"(CNKI),":[69],"WanFang":[71],"databases":[72],"were":[73,94,132],"searched":[74],"from":[75],"their":[76],"inception":[77],"to":[78],"1":[79],"January":[80],"2026.":[81],"Results:":[82],"A":[83,139],"total":[84],"17":[86],"cohort":[87],"studies":[88],"involving":[89],"6,876":[90],"CHB":[93],"included.":[95],"The":[96],"demonstrated":[98],"that":[99,143],"e-antigen":[102],"(HBeAg)":[103],"positivity":[104],"(odds":[105],"ratio":[106],"[OR]":[107],"=":[108,122,164,192],"3.03;":[109],"95%":[110,124,166,194],"CI":[111,125,167,195],"[1.91-4.81]),":[112],"higher":[113],"baseline":[114,201],"virus":[117],"(HBV)":[118],"DNA":[119,203],"levels":[120,131,209],"(OR":[121,163,191],"1.39;":[123],"[1.04-1.86]),":[126],"elevated":[128,206],"antepartum":[129,144,207],"significantly":[133],"elevation.":[138],"subgroup":[140],"analysis":[141],"revealed":[142],"elevation,":[146],"defined":[147],"as":[148],"categorical":[150],"variable":[151],"(ALT":[152],">1":[153],"ULN),":[154],"showed":[155,173],"strong":[157],"association":[158],"5.54,":[165],"3.78-8.12),":[168],"whereas":[169],"continuous":[170],"increase":[172],"smaller":[175],"effect":[176],"size.":[177],"Increasing":[178],"age":[180,225],"was":[181],"reduced":[185],"0.93,":[193],"0.87-0.99).":[196],"Conclusion:":[197],"HBeAg":[198],"positivity,":[199],"high":[200],"HBV":[202],"levels,":[204],"are":[210],"key":[211],"for":[214],"CHB.":[221],"Additionally,":[222],"younger":[223],"confer":[227],"increased":[228],"susceptibility.":[229],"Systematic":[230],"registration:":[232],"https://www.crd.york.ac.uk/PROSPERO/view/CRD420251208005,":[233],"Identifier:":[234]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-15T00:00:00"}