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Breastfeeding for HIV-infected Mothers in Resource-Limited Settings

You answered:

C The mother should stop breastfeeding since this infant's risk of acquiring HIV infection from breast milk outweighs the risk of dying from diarrheal illness or pneumonia in the first year of life.

This answer is incorrect. Infants in resource-limited settings face a high risk of dying from diarrheal disease and pneumonia. Breastfeeding is associated with improved child survival despite the increased risk of acquiring HIV, which can be reduced greatly through maternal or infant antiretroviral prophylaxis.

Choose another answer:

A The mother should wean the infant rapidly, using porridge for infant food and adding milk when it is available.
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.
D The mother should discontinue antiretroviral therapy prophylaxis since the infant's risk of acquiring HIV infection from breast milk is highest in the first 6 weeks postpartum and drops sharply thereafter.

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