Patient is HIV Positive. Can she breast feed? - USMLE Forums
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Old 05-26-2012
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Pediatrics Patient is HIV Positive. Can she breast feed?

Patient is HIV positive. Can she breast feed?

I say no, but am not sure...so?
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Old 05-26-2012
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yes the patient CANNOT breast feed!!

an HBV positive pt CAN breast feed! provided the baby has been immunized and recieved IVIG and the vaccine
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Old 05-27-2012
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In high income countries-
women with HIV cannot breastfeed their babies....

In low income countries-
women with HIV can breastfeed their babies provided both baby and women receive antiretroviral drugs throughout the course of breastfeeding..

and since we r preparing for USMLE and USA is high income country , our answer is definitely NO......
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Old 05-27-2012
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Quote:
Originally Posted by K06100 View Post
In high income countries-
women with HIV cannot breastfeed their babies....

In low income countries-
women with HIV can breastfeed their babies provided both baby and women receive antiretroviral drugs throughout the course of breastfeeding..

and since we r preparing for USMLE and USA is high income country , our answer is definitely NO......
Wow.......so they can afford the antiretroviral drugs for two (mother+Child) but cannot afford the formula for the child in low income countries.
A case of twisted logic?

In high income countries where they can afford both the formula & the antiretroviral drugs but don't like to breast feed anyway it's OK since some insurance lobbyist cum lawyer wrote this protocol.
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Old 05-27-2012
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Quote:
Originally Posted by Novobiocin View Post
Wow.......so they can afford the antiretroviral drugs for two (mother+Child) but cannot afford the formula for the child in low income countries.
A case of twisted logic?

In high income countries where they can afford both the formula & the antiretroviral drugs but don't like to breast feed anyway it's OK since some insurance lobbyist cum lawyer wrote this protocol.
the reason is listed below--
''For HIV positive women in low- and middle-income countries, advice on infant feeding differs from high income countries to reflect the fact there are limited resources and infrastructure. It is known that where there is little access to clean water, sanitation and health services, that not breastfeeding can greatly increase the risks of disease and even the death of the baby. So as most HIV positive women in these countries cannot safely formula feed their infants, breastfeeding is the only realistic option available.''

The latest (2010) guidance produced by the World Health Organisation (WHO), and increasingly followed by individual countries, is that in order to reduce the risk of the baby becoming infected, mothers, or their infant(s), are advised to take a course of antiretroviral drugs throughout the breastfeeding period. While both mother and infant will take a course of antiretroviral drugs, who takes the longer course of ARVs is a decision for the national body but either option has a very high success rate.Mothers are also advised to exclusively breastfeed their infant for 6 months and after time, introduce other food substances while continuing to breastfeed for up to a year.

reference-http://www.avert.org/hiv-breastfeeding.htm
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Old 05-27-2012
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actually during my final year , I heard professor saying its OK for HIV+women to breastfeed the babies......but when I read in KLN,it was a NO...so I typed on google and got this......!!!!!
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