SIDA. -
Although the virus has been cultivated in milk of infected Mothers, it is considered that the risk of transmission of the VIH across the lactation is very low, but it must be born in mind that immediately after the Mother becomes infected with the virus, high virus concentrations exist in his blood, but not of antibodies, mechanism that he explains the fact that a Child becomes infected with his Mother who nurses him, when this one acquired the infection in the immediate postchildbearing (blood transfusion for example). Any way the benefits of the lactation will have to be valued with the theoretical increase for the risk that the Child becomes infected across the Maternal lactation, deciding on not lactation when the Mother acquired the infection in recent form.
Hepatitis B. -
It is not possible to exclude the possibility of that a Mother become infected actively with Hepatitis B or bearer of the virus, could transmit the illness across the Maternal milk. In this situation, the Child has been exposed to major risk across the Maternal blood, the amniotic liquid and the vaginal secretions, for it, the American Academy of Paediatrics recommends the administration of immune gamaglobulina for Hepatitis B in Children of carrying Mothers who are Nursed.
For it he sent to him an information about the hepatitis and I embarrass with the general advices that must appear...
HEPATITIS AND PREGNANCY
Of every 5 born of carrying mothers of the virus of the hepatitis B (HBsAg-Print) one turns into chronic bearer. The administration of Antibody anti Virus of Heptitis B, together with the vaccine recombinante it has demonstrated a big efficacy in the decrease of this problem.
It vaccinates recombinante of the hepatitis B
It is the vaccine that is indicated for the persons' immunization of any age against the infection caused by any subtype of the virus of the hepatitis B.
The new-born mothers children with HBsAg-Prints, are one of the groups of more risk to contract the illness and to be chronic bearers.
The transmission of the virus hepatitis B from the mother to the child during the period perinatal performs the most frequent thing and she drives to serious long-term consequences in these children. For it it is very advisable doing a routine analysis for the HBsAg to every pregnant woman.
The vaccine of the hepatitis B has not been studied in pregnant women, but it does not seem that the problems that they could cause could be of such an intensity like the proper ones of the broadcast of the hepatitis B in the newborn baby. For it there is no express contraindication as such in the pregnancy.
The born mothers neonatos with HBsAg-Prints should receive IGHB (Inmunogobulina G anti-hepatitis B) in 12 a.m. later to the birth.
Also, it is necessary to begin with the first vaccine dose recombinante of the hepatitis B, trying to administer both injections in different thighs.
If the detection of the positividad of the mother is in 7 later days it is necessary to realize the same, to administer IGHB and to continue or to begin with the vaccine of the hepatitis in places different from injection. The administration later than 14 days of the IGHB does not seem to have any benefit.
The vaccine will be administered in an initial dose with others of memory a month and six months, or sometimes another rule with dose a month, 2 months and a year.
The achievement of a serología to verify the efficacy of the vaccine is indicated in the born children of carrying mother of HBsAg, they are realized at the age of 6 months and a year.
Rule and Dosage of the vaccine:
1. The neonatos of carrying mothers of HBsAg, Intramuscular route is administered in the previous thigh:
* 5 mcg (Recombivax HB) ó 10 mcg (Engerix-B) if it is hours after the birth,
* 20 mcg (Engerix-B) if it is in 12 hours and 7 days after the birth.
This dose recurs a month and at the age of six months (or 1, 2 months and a year).
2. In mother newborn babies with serologia unknown HBsAg:
* 5 mcg (Recombivax HB), 10 mcg (Engerix-B) between 12 a.m. and 7 days of the birth.
This dose recurs a month and at the age of six months (or 1, 2 months and a year).
3. If the serologia of the mother is negative there is realized the normal rule that is:
* 2.5 mcg (Recombivax HB), 10 mcg (Engerix-B) between 12 a.m. and 7 days of the birth.
This dose recurs a month and at the age of six months.
The vaccine contains surface antigen of (HBsAg), hydroxide of aluminum, and Thimerosal.
