Last update June 10, 2018
Very Low Risk
Although IgM and IgG antibodies and, occasionally, hepatitis A virus RNA have been detected in breastmilk, there have been no cases of vertical mother-infant transmission through breastmilk (Chaudhry 2015, Daudi 2012, Selander 2009, Stiehm 2001).
Therefore, and given the benefits of breastfeeding, it is recommended that all mothers with hepatitis A continue breastfeeding (Chaudhry 2015, Garcia 2015, Daudi 2012, Sookoian 2006). Unless the mother is very unwell, breastfeeding can continue without being interrupted.
It is very important to take the appropriate sanitary measures to minimize the risk of fecal-oral transmission to the breastfeeding baby: hand washing should be frequent especially the first 3 to 4 weeks that there is elimination of virus.
If the mother's infection is recent (fewer than 15 days), the infant should be protected with a vaccine or with standard immunoglobulin (Daudi 2012, CDC 1990).
Suggestions made at e-lactancia are done by APILAM team, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it.
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