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Background Antiviral intervention in hepatitis B virus (HBV)-infected pregnant women can effectively reduce mother-to-child transmission. However, the immunological characteristics of pregnant women with chronic HBV infection and the effects of antiviral intervention during pregnancy on maternal immune response remain unknown. We aimed to investigate these effects by comparing mothers who received antiviral intervention during pregnancy with those who did not. Methods Pregnant women positive for hepatitis B surface antigen and hepatitis B e-antigen (HBsAg+ HBeAg+) were enrolled at delivery, including 34 received prophylactic antiviral intervention during pregnancy (AVI mothers) and 15 did not (NAVI mothers). T lymphocyte phenotypes and functions were analysed using flow cytometry. Results At delivery, maternal regulatory T cell (Treg) frequency in AVI mothers was significantly higher than that in NAVI mothers (P + T cells in AVI mothers displayed a decreased ability to secrete IFN-γ (P = 0.005) and IL-21 (P = 0.043), but an increased ability to secrete IL-10 and IL-4 (P = 0.040 and P = 0.036), which represented a higher Treg frequency, enhanced Th2 response and suppressed Th1 response. Treg frequency among AVI mothers was correlated negatively with serum HBsAg and HBeAg levels. After delivery, the ability of CD4+ T cells or CD8+ T cells to secrete IFN-γ or IL-10 was similar and no significant difference in Treg frequency was found between the two groups. Conclusions Prophylactic antiviral intervention during pregnancy has an effect on T cell immunity in pregnant women, which was characterised by increased maternal Treg frequency, enhanced Th2 response and suppressed Th1 response at delivery.

Scopus and Web of Science Core Collection (WoSCC) are the two most authoritative and widely-used bibliographic databases. However, for the double-indexed open access mega journal IEEE Access, we found large discrepancies regarding the numbers of published records based on journal publisher, Scopus, and WoSCC. Considering that Segal’s law will confuse many users and affect the reliability of various metrics derived from these two authoritative bibliographic databases, this study conducted a large scale and thorough comparison between the data collected from the journal publisher’s website and these two bibliographic databases. Apart from different policies towards the index of different document types, this study identified four main representative causes for the discrepancies through case study (including the serious record omission and duplicate entry problems). Possible consequences and solutions were also provided.