- Case-Based Modules
- Initial Evaluation
- Dermatologic Manifestations
- Oral Manifestations
- OIs: Prophylaxis
- OIs: Treatment
- Antiretroviral Rx
- Antiretroviral Rx: Resistance
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- Drug-Drug Interactions
- Postexposure Prophylaxis
- Perinatal Transmission
- Special Populations
- Prevention for Positives
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- Resource-Limited Settings
- Interactive Tutorials
- Routine HIV Screening
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Resource-Limited Settings
Question | Discussion | References
Breastfeeding for HIV-infected Mothers in Resource-Limited Settings
You answered:
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The mother should continue to give her infant daily nevirapine prophylaxis while exclusively breastfeeding for 6 months and during continued breastfeeding for 12 months. |
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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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