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Author Topic: breast feeding  (Read 2671 times)

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Offline sanitex

  • Member
  • Posts: 485
breast feeding
« on: May 18, 2017, 02:19:39 am »
Hi
please is possible to breastfeed a child even if the woman was undetectable,is there element of infecting the baby . any advice or could anyone  enlighten  me?

please ANN I knew you more about  about this thankx.

27/12/07 cd4 20 vl 1m
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl un
16/10/08 cd4 196 vl un
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl un 23%
24/2/12 cd4 545 vl un 26%
22/2/12 chge trv to Recovir-em.10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ml.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs testquantitative Anti-HBs pos
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 24%
24/7/14 tevir
24/9/14 cd4 517 vl <40 22%
16/3/15 cd4 545 vl  85 24%
12/4/16 cd4 626 vl <40 25%
16/8/16 cd4 396 vl <40 27% changNVP/recovir-em 22/7
8/12/16 cd4 511 vl ud 23%
5/6/16 cd4 688 vl ud %27
17/9 /20  chng TLD

Offline Jim Allen

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  • Member
  • Posts: 19,779
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Re: breast feeding
« Reply #1 on: May 18, 2017, 07:29:34 pm »
Hi

Hope all is going well.

- Why the ask if i may? Are you expecting, did i miss an update?
- Curious what did your doctor recommend/say?

Look my knowledge on breastfeeding and HIV is limited, its more why its not a risk for adults, so not sure if my post will help but as nobody has responded yet to your post I will post some links - I hope it helps.

Now I know the CDC 2016 recommends against it - I don't always agree with the CDC postings as they tend to be a touch paranoid at times. Anyhow here is the link: https://www.cdc.gov/breastfeeding/disease/

Similar 2016 can be read here: https://www.avert.org/hiv-transmission-prevention/pregnancy-childbirth-breastfeeding

Quote
Breast milk contains HIV. However, guidelines on whether to breastfeed vary depending on what resources are available to you.

If you always have access to formula and clean, boiled water, you should not breastfeed and give formula instead.

If you do not have access to formula and clean, boiled water all of the time, you may be advised to breastfeed while both you and your baby are taking antiretroviral treatment.

If you do breastfeed, you must always take your treatment and exclusively breastfeed (give breast milk only) for at least 6 months. Mixing breast milk and other foods before this time increases your baby’s risk of HIV. You can mix-feed your baby after 6 months.9

If you are unsure whether to breastfeed or not, talk to a healthcare professional for more specialist advice.

Same here last review 2017 however source is quoted as CDC: https://aidsinfo.nih.gov/understanding-hiv-aids/fact-sheets/20/50/preventing-mother-to-child-transmission-of-hiv

What I did find is the WHO in 2016 seems to me at least to recommend it with treatment.

http://www.who.int/maternal_child_adolescent/documents/hiv-infant-feeding-2016/en/

Quote

WHO guidelines on HIV and Infant Feeding in 2010 for the first time recommended the use of antiretroviral drugs to prevent postnatal transmission of HIV through breastfeeding. This resulted in a major change from an individualised counselling approach toward a public health approach regarding how maternal and child health services should routinely promote and support infant feeding practices among mothers living with HIV.

Since then, almost all countries prioritised in the UNAIDS ‘Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive’ have adopted the approach of promoting and supporting breastfeeding and the provision of lifelong antiretroviral treatment as the strategy to optimise HIV-free survival among HIV-exposed, uninfected infants and children.

Since 2010, a number of questions have arisen following implementation of the recommendations at country level. These questions were identified during a guideline scoping meeting convened at UNICEF in New York, November 2014. The following questions were prioritised and are addressed in the updated guideline.

For how long should a mother living with HIV breastfeed if she is receiving ART and there is no evidence of clinical, immune or viral failure?
Can facility- and community-based interventions improve the quality of infant feeding practices among mothers living with HIV?
If a mother living with HIV does not exclusively breastfeed, is mixed feeding with ART better than no breastfeeding at all
If a mother living with HIV plans to return to work or school, is a shorter duration of planned breastfeeding with ART better than no breastfeeding at all?
The 2016 guidelines provide two Recommendations and two Guiding Practice Statements addressing these four questions

All in all I think this is the best statement
"If you are unsure whether to breastfeed or not, talk to a healthcare professional for more specialist advice"
« Last Edit: May 18, 2017, 07:39:29 pm by JimDublin »
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Offline sanitex

  • Member
  • Posts: 485
Re: breast feeding
« Reply #2 on: May 18, 2017, 11:51:06 pm »

Thanks Jim, I really appreciate the link and your effort.I will forward the link to the couple that need it asap.they wanted to join the forum but I think it was network issue holding their move.remain blessed .

27/12/07 cd4 20 vl 1m
10/4 /08 cd4 86 vl 63
1/7/08  cd4 186 vl un
16/10/08 cd4 196 vl un
23/1/09 cd4 248 vl un
10/9/11 cd4 418 vl <40 %22
13/12/11 cd4 410 vl un 23%
24/2/12 cd4 545 vl un 26%
22/2/12 chge trv to Recovir-em.10/9/11 cd4 418 vl <40 %22
7/7/12 cd4 359 vl <40 22%
23/8/12 cd4 400 vl <40 23%,
testosterone test 7.5 ng/ml and
thyroid (TSH)1.32 ml.
13/12/2012 cd4 523 24% vl <40
18/3/2013 cd4  513  23% vl <40
03/8/2013 cd4 429 22% vl <40
13/11/2013 cd4 455 23% vl <40
Anti-HBs testquantitative Anti-HBs pos
Titer 16.95 mlu/ml <10.00
22/3/14 cd4 396 vl <40 24%
24/7/14 tevir
24/9/14 cd4 517 vl <40 22%
16/3/15 cd4 545 vl  85 24%
12/4/16 cd4 626 vl <40 25%
16/8/16 cd4 396 vl <40 27% changNVP/recovir-em 22/7
8/12/16 cd4 511 vl ud 23%
5/6/16 cd4 688 vl ud %27
17/9 /20  chng TLD

 


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