The epidemiology of hepatitis C virus (HCV) has changed significantly over the last decade. Once most prevalent among older adults, the current burden has disproportionately affected young adults including women of childbearing age (WOCA). The Society for Maternal-Fetal Medicine recently issued guidelines that made no change in the recommendation to screen pregnant women based on risk factors. The current burden in young adults including WOCA supports a change in strategy away from risk-based screening to universal HCV screening in pregnancy. Universal screening offers several advantages that position us for a future where HCV treatment in pregnancy can happen and offers us progress toward the elimination of HCV.

中文翻译：

---

孕妇筛查丙型肝炎的时机已到。

在过去十年中，丙型肝炎病毒（HCV）的流行病学发生了巨大变化。曾经是老年人中最普遍的疾病，目前的负担已严重影响了年轻人，包括育龄妇女（WOCA）。母胎医学协会最近发布了指南，该指南未根据风险因素筛查孕妇的建议保持不变。包括WOCA在内的年轻人的当前负担支持策略的改变，从基于风险的筛查转变为妊娠中的全面HCV筛查。通用筛查具有几个优势，使我们有可能在怀孕期间进行HCV治疗，并为我们消除HCV取得了进步。