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Writer's picturemeowdini
May 202 min read

New Hope for Moms with HIV: Safe Breastfeeding Now an Option

Updated: Aug 7

New AAP guidelines now support breastfeeding for mothers with HIV on effective ART and an undetectable viral load, offering hope and emphasizing informed decision-making.

For LaTonya, a mother living with HIV in Colorado, breastfeeding her son was a deeply meaningful experience.  New guidelines from the American Academy of Pediatrics (AAP) now offer hope to many more women in her situation.


A mom with a baby
New AAP guidelines allow mothers with HIV on effective ART to breastfeed safely. Informed decision-making supports the significant health benefits of breastfeeding for babies.

Shifting the Landscape:


  • Previously, the AAP advised against breastfeeding for mothers with HIV in the US, regardless of viral load or treatment.

  • The new stance acknowledges that mothers with HIV on effective antiretroviral therapy (ART) with an undetectable viral load can breastfeed with very low risk.


Balancing Risks and Benefits:


While avoiding breastfeeding remains the only 100% risk-free option, the AAP now emphasizes informed decision-making and support for mothers who choose to breastfeed.

Breastfeeding offers significant health benefits for babies, including reduced risk of infections and chronic illnesses.


A Call for Support:


  • Dr. Lisa Abuogi, the report's lead author, highlights the importance of empowering women and addressing potential stigma around HIV and breastfeeding.

  • She emphasizes the need for a multidisciplinary team to ensure safe breastfeeding practices for both mother and baby.


A Consensus Emerges:


  • The AAP's position aligns with recent updates from the US Department of Health and Human Services (HHS).

  • Leading medical groups now advocate for supporting mothers with HIV who choose to breastfeed under specific conditions.


A Global Perspective:


  • The World Health Organization (WHO) already recommends breastfeeding for mothers with HIV in resource-limited settings lacking safe water and formula.


Future Considerations:


  • The optimal regimen for preventive antiretrovirals in breastfed infants remains under investigation.

  • Exclusive breastfeeding is recommended, as mixing with formula or other foods may increase HIV transmission risk.


LaTonya's Story:


  • LaTonya's experience demonstrates the emotional significance of breastfeeding for mothers with HIV.

  • Her story underscores the importance of personalized counseling and support for safe breastfeeding practices.



Looking Ahead:


  • The AAP's new guidelines represent a significant shift, offering more informed choices and potential health benefits for mothers and babies affected by HIV.



Source: CNN

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