Breastfeeding is contraindicated in one of the following conditions -

Correct option is A

Ans. (a) Galactosemia in the infant
Explanation:
Breastfeeding is generally recommended for most mothers and infants, including those with infections. However, it is strictly contraindicated in certain metabolic disorders, such as Galactosemia.
Why is breastfeeding contraindicated in Galactosemia?
· Galactosemia is a rare genetic metabolic disorder in which the infant cannot metabolize galactose (a sugar found in breast milk and dairy products).
· Cause: Deficiency of the galactose-1-phosphate uridyltransferase (GALT) enzyme.
· Effects of breastfeeding in galactosemic infants:
· Severe liver damage
· Cataracts
· Failure to thrive
· Intellectual disability
· Alternative Feeding: These infants should be fed a galactose-free formula (soy-based formula or specialized formula).
Why are the other options incorrect?
1. Maternal Hepatitis-B → (NOT a Contraindication) ✅
· Mothers with Hepatitis B can breastfeed as long as the baby receives:
· Hepatitis B vaccine (first dose within 12 hours of birth).
· Hepatitis B immunoglobulin (HBIG) if indicated.
· Virus transmission through breast milk is not significant.
2. Maternal Hepatitis-C → (NOT a Contraindication) ✅
· Hepatitis C is NOT transmitted through breast milk unless the mother has cracked or bleeding nipples.
3. Mastitis → (NOT a Contraindication) ✅
· Mastitis (breast infection/inflammation) is not a reason to stop breastfeeding.
· Breastfeeding should continue to help drain the infected breast and prevent engorgement.