1. If I have chronic HBV can I breast feed my baby without worrying that he might get infected?
A study made in Texas on 101 breast-fed infants and 268 formula-fed infants after immunopropylaxis was applied showed that there is no risk in breast feeding your baby if you have chronic HBV. Appropriate immunoprophilaxies means administering hepatitis B immune globulin and hepatitis B vaccine.
2. Does breast feeding have any consequence upon immunoprophylaxis, like leading to its failure?
It has been observed that the risk of immunoprofilaxis failure is approximately equal in breast fed babies of chronic HBV mothers and bottle fed babies. Also, breast feeding does not influence the response of anti-HBs in any negative ways.
3. Can a baby get HBV from its mother even during pregnancy, and what can be done about that?
Yes, the virus can transmit to the baby even during pregnancy, in fact this being one of the most frequent ways of increasing the number of carriers in the world. If a mother has HBV she can get intramuscular shots of HBV specific immunoglobulin (HBIG) during pregnancy and so this stops the virus from infecting the foetus. This solution is not 100% effective and 10%-20% of the babies still get HBV in their early life.
4. Can hepatitis B vaccination schedule initiated with one recombinant DNA vaccine be completed with another?
Studies have been made on 48 adults to see if this is true. At 0, 1 and 6 months they have been administered the first two doses of 10 micrograms with Merck Sharpe and Dohme's recombinant DNA (MSD rDNA) vaccine (Recombivax HB). At month 6, the tested subjects received SmithKline Beecham's recombinant DNA (SB rDNA) vaccine (Engerix-B). At the end of the vaccination program, the results were the same with the usuall cases when people get one type of recombinant DNA vaccine, so there is no harm in completing one type of vaccine with another.
5. Is hepatitis B vaccine safe if administered during pregnancy?
Scientists say that the vaccination does not lead to any congenital malformation or miscarriage, it is high immunogenic and protects babies in the immediate neonatal period. Doctors are still hesitant in administering all kind of vaccine during pregnancy, but the hepatitis B vaccine seems to be one of the few that can be given to a pregnant woman without causing damage.
6. Can still I use a vial of Hepatitis B vaccine if I kept it out of the refrigerator for a few days?
Tests have shown that after keeping the vial at 37 degrees C for 1 week the immunogenicity and reactogenicity of the vaccine were not altered and the vaccine's properties were intact. This is a good thing, especially for those who live in a country where facilities for proper storage and transportation are not adequate yet.
Hepatitis B Test Results
Vaccinations are a miracle of modern science. Thanks to these injections, diseases that used to be deadly in the past have almost completely disappeared today. Upon the birth of a new baby, most hospitals give the new parents a booklet that contains a vaccination schedule that the doctor can initial as each shot is given. Looking at the list of the various vaccinations, many new parents do not understand what the vaccinations are for. To understand the necessity for a vaccination, you must first understand the disease that it fends off.
The first vaccination that your new baby should receive is labeled HepB. This abbreviation stands for Hepatitis B, a serious virus that attacks the liver. This disease can result in lifelong liver infections, cirrhosis (scarring of the liver), liver failure, and death. The virus is passed when the blood of an infected person enters the blood of a person who is not infected. The disease can be transmitted from an infected mother to her infant during childbirth. It is also commonly found in the infants of immigrants who came from areas that have high rates of Hepatitis B.
Most obstetricians recommend that expectant mothers should have a Hepatitis B test to determine if they have the disease, as many infected people are not aware that they have the virus. The result of this test can determine when your baby will need his first vaccination of HepB. For infants that mothers have tested positive or the test results were inconclusive, the vaccination is given within twelve hours of the child's birth. In the case of the mother testing negative for Hepatitis B, the doctor may delay giving the shot for several days if there is a more pressing medical problem that needs to be addressed. Because this disease is highly contagious, the HepB vaccine is mandatory, even though the mother tests negative and is definitely not infected.
After the initial dose of HepB, several more doses will be needed to protect your baby to the fullest. The second dose should be given at the age of one to two months. There is a monovalent HepB vaccine and a combination vaccine that contains HepB. Depending on which type your baby has received will affect his vaccination schedule. If he was given the monovalent HepB during his two month vaccination, your baby will not need a repeat dose at four months of age. If the combination vaccine was used, your baby will need another vaccine at four months. The final dose of HepB can be given anytime after twenty-four weeks (approximately 6 months in age). Infants born to infected mothers should be tested after their third dose of the vaccine to determine if any further treatment is needed.
Hepatitis B is a serious and deadly disease. Again, many infected people are not even aware that they have this disease. By having your new baby vaccinated with the HepB shot, you can protect him in case he would come in contact with an infected individual.
Both Groshan Fabiola & Beverly Sugarman are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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