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Hepatitis C Virus (HCV) Hepatitis C virus RNA and antibody to HCV have been detected in breast milk of infected mothers However transmission of HCV via breastfeeding, has not been documented (theoretically possible) According to current guidelines, maternal HCV infection is not a contra-indication to breastfeeding (31) but mothers with cracked or bleeding nipples should pump and dump their milk and refrain from direct breastfeeding until their nipples heal Hepatitis B Virus (HBV) the risk of an infant acquiring HBV from an infected mother is 70% to 90% without immunoprophylaxis perinatal transmission is predominantly from blood exposure during labour and delivery although Hepatitis Bepatitis B Virus (HBV) surface antigen (HBsAg) has been detected in milk from HBsAg-positive women, breastfeeding does not significantly increase the risk of infection in their infants Infants born to HBsAg-positive mothers should be immunized with vaccine and immune globulin as per schedule