Success rate of breastfeeding with hepatitis B

Hepatitis B is a disease that almost everyone suffers from. Because most hepatitis B diseases are highly contagious, hepatitis B patients should be isolated as soon as possible. However, hepatitis B disease is also divided into different types. Some hepatitis B diseases are not so contagious, such as big three positive. If some mothers have triple positive, can they feed their babies through breastfeeding?

Can I breastfeed if I have hepatitis B?

If the newborn has normal immunity, the mother with "big three positive" can still breastfeed safely.

The "Guidelines for the Prevention and Treatment of Chronic Hepatitis B" clearly stipulates that "newborns who have been injected with hepatitis B immunoglobulin and hepatitis B vaccine within 12 hours of birth can be breastfed by mothers who are positive for hepatitis B surface antigen (HBsAg)." This guideline was jointly developed by the Chinese Medical Association's Hepatology Branch and the Chinese Medical Association's Infectious Diseases Branch under the leadership of the Ministry of Health and the Chinese Medical Association. It adheres to the principles of evidence-based medicine, only includes recognized plans that have been rigorously clinically verified, and clarifies the standards that medical personnel should follow in treating hepatitis B. Medical workers at all levels and in all regions should follow the "Guidelines for the Prevention and Treatment of Chronic Hepatitis B" to create a healthy and happy life for hepatitis B patients and hepatitis B virus carriers. ”

First, mother-to-child transmission of hepatitis B mainly occurs during delivery, and is transmitted through the mother's blood, amniotic fluid, vaginal secretions, etc. Therefore, we require that children be given hepatitis B immunoglobulin injections immediately when they are born, and the sooner the better. Because hepatitis B immunoglobulin is the hepatitis B virus antibody, after being injected into the baby's body, if the baby is infected, the antibody can neutralize the virus and immediately provide protection.

Second, the hepatitis B virus mainly enters the blood through damaged skin and mucous membranes and is not transmitted through the digestive tract. Someone has done a special experiment in which blood containing the hepatitis B virus was injected into the stomach of a chimpanzee through a gastric tube, but the chimpanzee did not get sick. However, if you brush its gums with a toothbrush and then apply blood containing the hepatitis B virus on its gums, the chimpanzee will get sick. This shows that the virus enters the blood through the damaged gum mucosa and causes infection.

Third, epidemiological control studies have confirmed that there is no difference in the risk of hepatitis B virus infection between breastfed and non-breastfed infants as long as hepatitis B immunoglobulin and hepatitis B vaccine are injected immediately after birth.

Clinical manifestations of triple positive

1. Chronic HBV carriers are mostly asymptomatic and are often in the immune tolerance period. Except for the "big three positives" and positive virus tests, other growth indicators and even pathological indicators are normal. Although no drug treatment is required during this period, regular testing and observation are required to detect disease progression in time. Research on carriers has also shown that a small number of carriers have normal liver function, but the disease still progresses. After several years, it can also progress to hepatitis, cirrhosis and even liver cancer. Therefore, regular check-ups are required to detect disease progression in time and intervene in time.

2. Chronic hepatitis B: It can be divided into three types: mild, moderate and severe according to the condition.

Mild: The condition is relatively mild, with recurrent symptoms of fatigue, dizziness, loss of appetite, aversion to oil, yellow urine, discomfort in the liver area, poor sleep, slightly enlarged liver with slight tenderness, and mild splenomegaly. Some cases have no symptoms or signs. Only 1 or 2 liver function indicators were slightly abnormal.

Moderate: Symptoms, signs, and laboratory tests are between mild and severe.

Severe: There are obvious or persistent symptoms of hepatitis, such as fatigue, poor appetite, abdominal distension, yellow urine, loose stools, etc., accompanied by liver disease face, liver palms, spider nevi, splenomegaly, repeated or persistent increase in ALT and/or aspartate aminotransferase (AST), decreased albumin, and significantly increased immunoglobulin G.