Can hepatitis C patients breastfeed?

Dec 02, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
If a hepatitis C patient has not received antiviral treatment, has a low viral load, and has no breaks or cracks in the nipples, and if the baby's oral mucosa is also free of ulcers or injuries, breastfeeding is generally considered safe. Current research indicates that the probability of transmitting hepatitis C virus through breast milk is extremely low, and routine breastfeeding does not significantly increase the risk of infection in infants, while adequately meeting their nutritional needs.

Generally, whether hepatitis C patients can breastfeed depends on their treatment status and physical condition. Breastfeeding may be possible if no antiviral therapy is being administered and there are no special complications; however, breastfeeding should be avoided during treatment or if there are open wounds. If in doubt, it is recommended to consult a doctor in advance. Detailed analysis is as follows:

If a hepatitis C patient has not received antiviral treatment, has a low viral load, and has no breaks or cracks in the breasts, and if the baby’s oral mucosa has no ulcers or injuries, breastfeeding is generally considered safe. Current research indicates that the risk of transmitting the hepatitis C virus through breast milk is extremely low, and routine breastfeeding does not increase the risk of infection in infants, while adequately meeting the baby's nutritional needs.

If a hepatitis C patient is undergoing antiviral treatment (taking direct-acting antiviral drugs), or if there are obvious breaks, bleeding, or wounds in the breasts, or if the baby has oral wounds or infections, breastfeeding is not recommended. Medications may affect the infant’s health through breast milk, and blood-to-blood contact could increase the risk of viral transmission. In such cases, formula feeding should be chosen to ensure the baby’s safety.

Before planning to breastfeed, hepatitis C patients should inform their doctor about their medical condition and treatment plan. During breastfeeding, closely monitor the condition of the breasts and the baby’s mouth, and temporarily stop breastfeeding if any injuries occur. Regular follow-up tests for liver function and viral load are necessary, and treatment or feeding methods should be adjusted according to medical advice to ensure the health of both mother and child.

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