Chao SD, et al. - Researchers conducted a cross-sectional study among practicing obstetricians in Santa Clara County, CA to illustrate their strategy for managing pregnant women with chronic hepatitis B infection. They recruited 138 obstetricians in person or by mail to complete a voluntary, multiple choice survey on hepatitis B (HBV). Pregnant women were routinely assessed for hepatitis B surface antigen (HBsAg) by 94% of these obstetricians. Specialist assessment of HBsAg-positive patients for antiviral treatment and monitoring was routinely advised by only 60.9% of them; fewer than half (48.6%) routinely gave them HBV information. Despite most respondents acknowledging the possible complications of chronic HBV by (94.2%), just 21% knew about the 25% risk of liver-related death in correlation to chronic HBV when left unmonitored and untreated, and just 25% knew about the high prevalence of chronic HBV in the foreign-born Asian, Native Hawaiian and Pacific Islander population. Findings thereby suggest the clear gaps in the practice patterns of obstetricians.