Breastfeeding

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Whether mothers who are carriers of Hepatitis B should breastfeed their babies is a topic that is frequently discussed in society.

Scientific studies show that the risk of transmission of the Hepatitis B virus through breast milk is very low.

However, certain important points should be considered to protect the health of both the mother and the baby.

Hepatitis B and Breast Milk

Risk of Transmission Through Breast Milk:

  • The Hepatitis B virus may be present in breast milk; however, the risk of direct transmission through milk is very low.
  • If the baby has received the Hepatitis B vaccine and immunoglobulin (HBIG) after birth, breastfeeding is safe.

Protective Effect of Vaccination and HBIG:

  • If the newborn receives the Hepatitis B vaccine and HBIG within the first 12 hours after birth, they are effectively protected against the virus.
  • There is no harm in breastfeeding vaccinated babies.

Recommendations Regarding Breastfeeding

1. General Recommendations for Expectant Mothers:

  • Even if you are a Hepatitis B carrier, breastfeeding provides many benefits for both the mother and the baby.
  • Breastfeeding is an important process that strengthens the baby's immune system and protects them from infections.

2. Breast Care:

  • Cracks or Bleeding: If the mother has cracks, wounds, or bleeding on the nipple, the baby should avoid contact with these areas. Blood can increase the risk of Hepatitis B transmission.
  • Hygiene: The nipple should be cleaned before and after breastfeeding.

3. Baby's Vaccination Schedule:

  • The baby should receive the first dose of the Hepatitis B vaccine within the first 12 hours after birth, with subsequent doses at 1 and 6 months.
  • Completing the vaccination schedule protects the baby and makes breastfeeding safer.

Special Considerations for Mothers Who Are Hepatitis B Carriers

1. Breastfeeding Premature Babies:

  • Premature babies are more vulnerable, so the vaccination schedule must be strictly followed, and extra attention must be paid to hygiene rules.

2. Breastfeeding in HBsAg-Positive Mothers:

  • Even if the mother is a carrier, breastfeeding is recommended if the baby's postnatal protective measures (vaccination and HBIG) have been completed.

3. If the Mother is Undergoing Treatment:

  • If the mother is receiving antiviral treatment, the transfer of the drugs used into breast milk and their effects on the baby should be evaluated by a doctor.

Common Misconceptions About Breastfeeding

Misconception: Mothers who are Hepatitis B carriers cannot breastfeed their babies.

  • Fact: Babies who have been vaccinated and received HBIG after birth can be safely breastfed.

Misconception: Breast milk does not protect against Hepatitis B.

  • Correct: Breast milk contains substances that support the baby's immune system and protect against infections.