What should I do if I had hepatitis B during my first pregnancy?

Patient's question:

I am 33 weeks pregnant. I had hepatitis B surface antigen positive (HBsAg positive) during my first pregnancy and did not breastfeed for two years. I was later diagnosed with hepatitis B surface antigen negative (HBsAg negative). Now I am still HBsAg negative, and my liver function is normal. Can I breastfeed?

Doctor's answer:

Hepatitis B currently has a very active viral load, and it is contagious to a certain extent. In principle, liver function is normal. If the baby is born for the purpose of interrupting the transmission, it is recommended. However, before breastfeeding, the mother must wash her hands with soap, and at the same time, the nipples should not be corroded. If the nipples are corroded or if the baby has ulcers in the mouth or corrosion, breastfeeding should be absolutely avoided to prevent infection and temporarily stop breastfeeding. For safety reasons, it is recommended that you do not breastfeed.

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