Breastfeeding with Hepatitis C

If you're a new or expecting mama and have been diagnosed with Hepatitis C, you might have a lot of questions about how this condition can affect your breastfeeding journey. We understand your concerns and are here to provide you with comprehensive information and support.

What is Hepatitis C?

Hepatitis C is a liver infection caused by the Hepatitis C virus (HCV). It's a bloodborne virus, meaning it's spread through contact with infected blood. For some people, Hepatitis C is a short-term illness, but for 70%–85% of individuals who become infected, it turns into a long-term, chronic infection, which can lead to serious liver problems.

Can I breastfeed if I have Hepatitis C?

The short answer is, yes. According to the latest guidance from health authorities, including the CDC, mothers with Hepatitis C can breastfeed their babies. There's no evidence to suggest that Hepatitis C can be transmitted through breast milk. However, there are certain precautions you should take to ensure the safety and health of your baby.

Precautions to take while breastfeeding

• Nipple Care: If you have cracked or bleeding nipples, it's important to address these issues promptly. If you have bleeding, you should stop nursing and pump and dump your milk while your nipples heal. While the risk of Hepatitis C transmission through breast milk is extremely low, open sores could potentially increase the risk of transmission through blood. Consider consulting with an IBCLC (International Board Certified Lactation Consultant) for advice on healing and preventing nipple damage.

• Breast Pump Hygiene: Make sure to thoroughly clean and sterilize all parts of your breast pump that come into contact with your milk or your skin. This is a good practice for all breastfeeding mamas, but it's especially important if you have Hepatitis C to prevent any possible transmission of the virus through contaminated surfaces.

Breastfeeding challenges and Hepatitis C

Breastfeeding with Hepatitis C might bring some unique challenges, primarily related to managing the condition while caring for your baby:

• Fatigue: Hepatitis C can cause fatigue, which might make the demands of breastfeeding more challenging. Prioritize rest when you can, and don't hesitate to ask for help from family and friends.
• Medication: If you're undergoing treatment for Hepatitis C, you should discuss your medications with your healthcare provider to ensure they're safe for breastfeeding. Most modern treatments for Hepatitis C are considered safe during breastfeeding, but always confirm with your healthcare provider.

When to seek medical advice

• If you notice symptoms of mastitis (breast infection), such as redness, swelling, or warmth in one area of the breast, fever, or flu-like symptoms, seek medical advice promptly. Mastitis requires treatment to prevent it from worsening.
• If you or your baby are showing any signs of illness or unusual symptoms, it's always best to consult with your healthcare provider for personalized advice.

Breastfeeding-related issues

It's also important to be aware of related issues that might impact your breastfeeding experience:

• Postpartum Health: Managing your health after giving birth is crucial, especially with a chronic condition like Hepatitis C. Regular check-ups with your healthcare provider are important to monitor your liver health and overall well-being.
• Nutritional Needs: Eating a well-balanced diet supports your liver health and provides the nutrients needed for breastfeeding. Consider consulting with a nutritionist for personalized advice.

Breastfeeding with Hepatitis C is generally safe, but taking precautions and being informed can help you navigate any challenges that arise. Always consult with healthcare professionals, including IBCLCs, for advice tailored to your specific situation. Remember, you're not alone on this journey, and there's support available to help you and your baby thrive during breastfeeding.

Sources

• https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/maternal-or-infant-illnesses/hepatitis.html#:~:text=Is it safe for a mother infected with hepatitis C,not a contraindication to breastfeed.
• https://pubmed.ncbi.nlm.nih.gov/15384578/
• https://www.rchsd.org/programs-services/neonatology/parent-education/breastfeeding-and-hepatitis/
• https://www.pregnancybirthbaby.org.au/pregnancy-and-breastfeeding-with-hepatitis-c

Laura Franchow

RN, BSN, IBCLC, CEIM
NICU nurse since 2016, lactation specialty since 2020.

Megan Dishman

RN, BSN, CBS, IBCLC MENTEE
I’m an ER nurse and I run @thecolicnurse on Instagram
Schedule a consult with me >>

Thank Megan

Anna Burch

RN, BSN, IBCLC, CEIM
I've had three IVF miracle babies, including twins.

Thank Anna