A postpartum mother with hepatitis A virus has been diagnosed before delivery. What is the recommendation regarding her breastfeeding?

The recommendation regarding breastfeeding for a postpartum mother with hepatitis A virus is to administer immunoglobulin and allow nursing. This is based on the understanding of how hepatitis A is transmitted and the benefits of breastfeeding.

Hepatitis A is primarily spread through the fecal-oral route and does not transmit through breast milk. In fact, breastfeeding is encouraged because it provides essential nutrients and antibodies to the infant. Administering immunoglobulin (specifically for hepatitis A) is advised to give the newborn immediate protection against the virus, especially if the breastfeeding mother has been diagnosed with hepatitis A. This immunization helps in reducing any potential risk and is a protective measure that can coexist with safe breastfeeding practices.

Other recommendations focus more on cautionary measures without acknowledging the safe nature of breastfeeding when proper precautions, such as administering immunoglobulin, are taken. The use of immunoglobulin establishes a protective environment for the newborn while allowing the mother to nurse, promoting the continuation of vital maternal-infant bonding and health benefits obtained through breastfeeding.