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Subject:
From:
"NICKI CLARK, LLL Leader" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 26 Dec 1997 11:36:31 EST
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Good morning gang! I need your collective wisdom here.

Dad was diagnosed with acute phase hepatitis B one week ago. He is of
Asian descent and mom and dad believe he may be a chronic carrier,
probably from childhood. This is his first active flare-up that he knows
of, however. Mom and Dad have a baby, 2.5 months old, exclusively
breastfed. Mom and baby were tested on Tuesday and baby was also given
first round of the HepB vaccine (possibly a double dose? Momis not
sure...). Mom's test results came back today. She tested postive for the
antibody, indicating she has been exposed in the past. Since there is no
way to test to see if she is now completely immune or also a carrier,
what is the consensus on continuing breastfeeding until baby's vaccine
kicks in?Mom's doctor is discussing this with a hepatologist and
assessing the risk:benefits ratio. They think a temporary weaningis
probably unlikely. I did an archive search and the only info I was able
to find (in my other resources as well) was related to giving baby immune
golubilin at birth and then breastfeeding being "safe". I am assuming
since mom is not in an acute phase and may even be immune, the benefits
of continuing to nurse far outweigh the risks. Do we have any info on how
transmittable HBV is via breastmilk in a baby who is *un*immunized?

TIA,
Nicki Clark

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