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You get a call from a pregnant hepatitis B surface antigen positive woman that you have been taking care of. She is frantic because she unexpectedly went into labor and delivered the baby in her bathtub 30 minutes earlier. She had her husband cut the cord with a clean kitchen knife and the baby appears to be doing well. She wants to know if you can see her immediately. She is concerned about how her hepatitis status affects breast-feeding. You tell her to bring the baby over to the office and

A. not to breast-feed until the baby received the proper immunizations


B. that she can begin to breast-feed immediately if the baby is hungry


C. that her newborn will need to be treated with alpha interferon


D. that her breast milk does not contain hepatitis B surface antigen


E. that she should not breast-feed the newborn because of her hepatitis status

obgyn poop

A-

Sami can also be wrong sometimes

samipoop

Ans: B

B...

This is from cdc, just remember MTB says something different, maybe it needs to be corrected....the choice A is a good choice according to MTB but according to CDC, we should select B. But u never know who added a question like this on real exam and had their answer selection based on cdc or not.




Hepatitis B Virus Infection
Is it safe for a mother infected with hepatitis B virus (HBV) to breastfeed her infant immediately after birth?
Yes. Even before the availability of hepatitis B vaccine, HBV transmission through breastfeeding was not reported. All infants born to HBV-infected mothers should receive hepatitis B immune globulin and the first dose of hepatitis B vaccine within 12 hours of birth. The second dose of vaccine should be given at aged 1–2 months, and the third dose at aged 6 months. The infant should be tested after completion of the vaccine series, at aged 9–18 months (generally at the next well-child visit), to determine if the vaccine worked and the infant is not infected with HBV through exposure to the mother's blood during the birth process. However, there is no need to delay breastfeeding until the infant is fully immunized. All mothers who breastfeed should take good care of their nipples to avoid cracking and bleeding.


http://www.cdc.gov/breastfeeding/disease/hepatitis.htm

Ans: B

do you have uw and mtb pdf format.