Should chronic hepatitis B mothers breastfeed? a meta analysis

<p>Abstract</p> <p>Background</p> <p>Hepatitis B virus (HBV) exists in the breast milk of chronic hepatitis B (CHB) mothers. The authors use a meta-analytic technique to quantify the evidence of an association between breastfeeding and risk of CHB infection among the in...

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Bibliographic Details
Main Authors: Xia Yugang, Ye Qi, Lu Yihan, Zheng Yingjie, Zhou Yueqin, Yao Qingqing, Wei Shan
Format: Article
Language:English
Published: BMC 2011-06-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/11/502
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Summary:<p>Abstract</p> <p>Background</p> <p>Hepatitis B virus (HBV) exists in the breast milk of chronic hepatitis B (CHB) mothers. The authors use a meta-analytic technique to quantify the evidence of an association between breastfeeding and risk of CHB infection among the infants vaccinated against HBV.</p> <p>Methods</p> <p>Literature search is performed up to 2010 on the relationship between infantile CHB infection within one-year follow up after immunization with the third-dose hepatitis B vaccine and breastfeeding. Two reviewers independently extract the data and evaluate the methodological quality. A random-effects model is employed to systematically combine the results of all included studies.</p> <p>Results</p> <p>Based on data from 32 studies, 4.32% (244/5650) of infants born of CHB mothers develop CHB infection. The difference in risk of the infection between breastfed and formula-fed infants (RD) is -0.8%, (95% confidence interval [CI]: -1.6%, 0.1%). Analysis of the data from 16 of the studies finds that RD for mothers who are positive for the HBeAg and/or the HBV DNA, 0.7% (95%CI: -2.0%, 3.5%), is similar to that for those who are negative for these infectivity markers, -0.5% (95%CI: -1.7%, 0.6%).</p> <p>Conclusions</p> <p>Breast milk is infectious; yet, breastfeeding, even by mothers with high infectivity, is not associated with demonstrable risk of infantile CHB infection, provided that the infants have been vaccinated against HBV at birth.</p>
ISSN:1471-2458