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=== Mother-to-child transmission === [[Mother-to-child transmission]] of {{nowrap|hepatitis C}} occurs in fewer than 10% of pregnancies.<ref name=Preg10>{{cite journal | vauthors = Lam NC, Gotsch PB, Langan RC | title = Caring for pregnant women and newborns with hepatitis B or C | journal = American Family Physician | volume = 82 | issue = 10 | pages = 1225β9 | date = November 2010 | pmid = 21121533 | url = http://www.aafp.org/afp/2010/1115/p1225.pdf | url-status = live | archive-url = https://web.archive.org/web/20130521080102/http://www.aafp.org/afp/2010/1115/p1225.pdf | archive-date = 2013-05-21 }}</ref> There are no measures that alter this risk.<ref name=Preg10 /> It is not clear when transmission occurs during pregnancy, but it may occur both during gestation and at delivery.<ref name=Pon2011 /> A long labor is associated with a greater risk of transmission.<ref name=World2007 /> There is no evidence that [[breastfeeding]] spreads HCV; however, to be cautious, an infected mother is advised to avoid breastfeeding if her nipples are cracked and bleeding,<ref>{{cite book | vauthors = Mast EE |chapter=Mother-to-Infant Hepatitis C Virus Transmission and Breastfeeding |series=Advances in Experimental Medicine and Biology |title=Protecting Infants through Human Milk |volume=554 |pages=211β16|year=2004 |pmid=15384578 |doi=10.1007/978-1-4757-4242-8_18|isbn=978-1-4419-3461-1 }}</ref> or if her viral loads are high.<ref name=Pon2011 />
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