Breastfeeding in the United States Among Women With HIV: Con Viewpoint.
Sharon NachmanGrace M AldrovandiPublished in: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America (2024)
To breast feed or not has long been a difficult question for women with human immunodeficiency virus (HIV) in high-income countries, as undetectable HIV in maternal plasma does not translate to zero risk of transmission while breastfeeding, and clean water and formula are readily available. Recent, and more permissive, changes in US and other high-income-country guidelines regarding breastfeeding underscore this issue and acknowledge the information gaps that are essential for informed maternal choice and provider management. These include lack of guidance as to routine monitoring of mothers during lactation, type and length of prophylaxis for infants, and lack of data on factors associated with increased breast-milk viral load and risk of transmission. Ancillary to data are the education and staffing needs for providers participating in the management of breastfeeding individuals. Future studies of breast-milk transmission will need to evaluate these gaps so that we can move transmission to zero.
Keyphrases
- human immunodeficiency virus
- antiretroviral therapy
- hepatitis c virus
- hiv infected
- hiv positive
- preterm infants
- hiv aids
- hiv testing
- men who have sex with men
- electronic health record
- human milk
- mental health
- physical activity
- clinical practice
- healthcare
- low birth weight
- big data
- pregnancy outcomes
- primary care
- birth weight
- machine learning
- body mass index
- south africa
- data analysis
- health information
- quality improvement
- deep learning
- preterm birth
- case control