Can people with hepatitis B have a positive result for the and breastfeed?

Patient's question:

At 32 weeks pregnant with hepatitis B, positive for the "big three" (HBsAg, HBeAg, anti-HBc), normal liver function, and a DNA quantification of 5.094 x 10^7, can I breastfeed?

Doctor's answer:

Cannot breastfeed, although liver function is normal, but the viral load is high, indicating a strong viral copy number and high transmissibility. It is recommended to undergo hepatitis B interruption treatment during the later stages of pregnancy and after delivery, and to opt for a cesarean section during labor. Administer the hepatitis B vaccine and immunoglobulin to the newborn via intramuscular injection. There are many treatment methods for hepatitis B, but since the patient's condition varies, the diagnostic approach also differs. Therefore, it is advised that patients seek diagnosis and treatment as soon as symptoms are detected.

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