About Johanna Blanding-Koskinen Expertise I can help to answer those questions you have concerning viral hepatitis, HIV/AIDS and HCV/HIV coinfection. Should you have questions about treatment options, I am here to help you find the answers. Though I do not endorse any particular treatment or company, I will do all I can to make sure you get the information and resources you need to make a well-informed decision about your care.
Experience I am the executive director the Hepatitis C Multicultural Outreach, a nation-wide organization providing services to those affected by HCV and HIV. Our organization provides free screening, testing and counseling in the states of Missouri and Kansas. We also do trainings and presentations that make it possible for community leaders to respond appropriately to the needs of their community.
Organizations National Association of Hepatitis Task Forces; National Viral Hepatitis Roundtable; African American Council on Liver Awareness; American Association of Christian Counselors (AACC); Ordained Minister, New Wine Fellowship Ministries
Education/Credentials Certified through the National Coalition of STD Directors, Integrating Viral Hepatitis into Client-Centered Counseling; Hepatitis C Testing/Counseling Certification- HCV Advocate.org; HIV instructor certification through the Red Cross - Kansas City Chapter; HIV Instructor/Counselor Certification through the Missouri Department of Health and Senior Services; Board of Directors, National Association of Hepatitis Task Forces(Kansas);B.A. English Literature
Past/Present Clients Because of the nature of my work, I am not at liberty to discuss this other than to say that I work with those affected by HCV and HIV.
Expert: Johanna Blanding-Koskinen Date: 5/15/2008 Subject: can you adress breastfeeding transmission of Hep A, B and C
Question For a class of midwifery students, we need to know what to tell expectant mothers, especially non vaccinated and non tested ones
Answer Hep b can be transmitted through bodily fluids, but this does not include breastfeeding. Same with hep C.
That being said, there is one concern, and that has to do with "cracked nipples" which any breastfeeding mom will tell you can be very painful, to the point of bleeding. This is were concern is greatest.
So, a woman can breastfeed with hep b and C, but if the skin is broken anywhere around the nipple, then breastfeeding should be stopped for the mother with hep b or c, until it is completely and totally healed.
