Can I Breastfeed with These Virus Levels? Expert Advice Needed

Q: Can I Breastfeed with These Virus Levels? Expert Advice Needed

Dear Ms. <br>Huang： In principle, if a baby is born to a mother who is HBsAg and HBeAg positive, administering immunoglobulin within 24 hours of birth allows for breastfeeding. <br>As for whether your HBsAg and HBeAg positivity requires treatment and how to maintain your health,

Is it safe to breastfeed with this level of viral load?

Based on your viral load results, with HBsAg at 5773 and HBeAg at 11.58 indicating a positive status for both, it is important to consider the implications for breastfeeding.
Your SGOT (AST) is 22 and SGPT (ALT) is 21, which are within normal limits.

In general, it is recommended that mothers with chronic hepatitis B can breastfeed, as the virus is not transmitted through breast milk.
However, there is a risk of transmission during delivery, so it is crucial to discuss with your healthcare provider about the appropriate measures to take during childbirth.

After delivery, your baby should receive the hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) within 12 hours to reduce the risk of infection.

It is essential to follow up with both your obstetrician and a hepatologist to discuss any potential treatments or medications you may need postpartum.
Thank you for your inquiry.

Ms. Huang, 30~39 year old female. Ask Date: 2009/03/09

Dr. Huang Jianxun reply Obstetrics and Gynecology

Dear Ms.
Huang: In principle, if a baby is born to a mother who is HBsAg and HBeAg positive, administering immunoglobulin within 24 hours of birth allows for breastfeeding.
As for whether your HBsAg and HBeAg positivity requires treatment and how to maintain your health, it is advisable to consult a hepatologist.
Wishing you peace and health.
Sincerely, Dr.
Huang Chien-Hsun, Director of the Department of Obstetrics and Gynecology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2009/03/09

More Info

When it comes to breastfeeding with the presence of hepatitis B virus (HBV), it's essential to consider both the mother's viral load and the potential risks to the infant. Based on the information you provided, your HBsAg level is 5773, and HBeAg is 11.58, indicating that you are a hepatitis B carrier with active viral replication.

Breastfeeding and Hepatitis B
1. Transmission Risk: The primary concern with breastfeeding is the risk of transmitting the virus to the infant. However, studies have shown that breastfeeding is generally safe for mothers with hepatitis B, provided that the infant receives appropriate prophylaxis. The virus is not transmitted through breast milk; instead, the risk of transmission is primarily through blood or bodily fluids.

2. Infant Prophylaxis: It is crucial that your newborn receives the hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) within 12 hours of birth. This combination significantly reduces the risk of the infant contracting the virus. The vaccination series should be completed according to the recommended schedule.

3. Monitoring and Treatment: After delivery, it is essential to monitor your liver function and viral load regularly. Depending on your liver health and viral replication status, your healthcare provider may recommend antiviral therapy. This is particularly important if your liver function tests (SGOT and SGPT) indicate any liver inflammation or damage.

4. Consulting Specialists: Since you have already consulted a gastroenterologist, it would be beneficial to have a coordinated care approach involving both your obstetrician and a hepatologist. They can provide tailored advice based on your specific health status and the latest guidelines.

5. Breastfeeding Recommendations: If your healthcare team agrees, you can breastfeed your baby. Ensure that you maintain good hygiene practices, such as washing your hands before handling your baby and avoiding any cuts or sores that could come into contact with your infant.

Conclusion
In summary, breastfeeding is generally considered safe for mothers with hepatitis B, especially when appropriate preventive measures are taken for the infant. Your healthcare team will be your best resource for personalized advice, so keep them informed about your concerns and follow their recommendations closely. Regular monitoring and potential treatment for your hepatitis B will also be crucial for your health and the safety of your baby. Always feel free to ask your healthcare providers any questions you may have, as they can provide the most accurate and relevant information for your situation.

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