Vertical transmission of HIV-1 infection and dilemma of infant feeding
Ehrnst, A.; Zetterström, R.
Acta Paediatrica 92(9): 990-991
2003
ISSN/ISBN: 0803-5253 PMID: 14599053 DOI: 10.1111/j.1651-2227.2003.tb02560.xDocument Number: 254639
The problem of giving proper recommendations on early feeding of infants of HIV-1-positive mothers in countries with deficient hygienic conditions is discussed. Even in exclusive breastfeeding, which is associated with a lower risk of HIV transmission than when supplements are given, the risk that the infant will acquire HIV-1 has to be balanced against the risk of formula feeding. Furthermore, it also has to be stressed that exclusive breastfeeding is a rarity in many poor countries. Conclusion: The dilemma of recommending appropriate early feeding to HIV-1-positive mothers will persist until further studies of the type performed by the Coutsoudis group in South Africa have been performed.