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Breastfeeding for HIV-infected Mothers in Resource-Limited Settings

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B The mother should continue to give her infant daily nevirapine prophylaxis while exclusively breastfeeding for 6 months and during continued breastfeeding for 12 months.

This answer is correct. Continuing exclusive breastfeeding is the safest strategy for this infant. Not breastfeeding is associated with high morbidity and mortality rates in resource-limited settings. In the BAN trial, among breastfed infants who were HIV-negative at birth and received extended daily nevirapine prophylaxis, only 1.7% had acquired postnatal HIV infection at 7 months of age. The World Health Organization 2010 guidelines recommend exclusive breastfeeding for 6 months and continued breastfeeding (supplemental fluids or foods in addition to breast milk) for up to 12 months.

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