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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is breastfeeding recommended while on medications for autoimmune hepatitis?

My name is Tudor Alina, I'm 30 years old, I'm from Romania and I was diagnosticated with autoimmune hepatitis since 2007 with positive ANA. The treatment scheme was Prednison + Azathioprine on beginning and later on changed to Budenofalk 9mg + Azathioprine. One year ago, the treatment was reduced to Budenofalk 9mg/day only to facilitate the pregnancy. The values of ALT were not higher than 98 and AST not higher than 62.
After I got pregnant (six weeks of pregnancy), the treatment was stopped gradual during a week as per gynecologist indications.
After one week without treatment the values were slightly increased to:

*Alaninaminotransferaza (GPT/ALAT/ALT) 105 U/L
* Aspartataminotransferaza (GOT/ASAT/AST) 64 U/L

Now I am pregnant in 9 weeks, and from last examination which was done yesterday results that all is in very good condition.

I have two questions:

If the birth can be done natural without caesarian?
If breast feeding is possible?
Wed, 16 Mar 2016
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Pediatrician, Neurology 's  Response
to simply answer your queries, the birth can be decided at term whether to caeser or not and it's too early now at 9 weeks. for the second question, I am not sure u had viral studies on you for HbsAg and liver biopsy? you baby needs to be checked and your viral titres to decide whether you can feed her by breast or not.
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Is breastfeeding recommended while on medications for autoimmune hepatitis?

to simply answer your queries, the birth can be decided at term whether to caeser or not and it s too early now at 9 weeks. for the second question, I am not sure u had viral studies on you for HbsAg and liver biopsy? you baby needs to be checked and your viral titres to decide whether you can feed her by breast or not.