Question | Discussion | References

Breastfeeding for HIV-infected Mothers in Resource-Limited Settings

You answered:

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.

This answer is incorrect. Although the risk of HIV infection is highest in the first 6 weeks postpartum, this risk continues for the entire duration of the breastfeeding period. Accordingly, the mother should not stop antiretroviral prophylaxis at 6 weeks postpartum.

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.
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.

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