• Medicina · Jan 2025

    Review

    [Breastfeeding in people with HIV, from taboo to reality].

    • Leda Guzzi, Silvana Lauro, Gloria Amborosioni, Pilar Cancela, Mónica Castells, Claudio Comparato, Rocío López, Natalia Laufer, and Isabel Casetti.
    • Hospital Maternidad Santa Rosa, Florida, Buenos Aires, Argentina. E-mail: ledaguzzi@hotmail.com.
    • Medicina (B Aires). 2025 Jan 1; 85 (1): 182196182-196.

    AbstractBreastfeeding in newborn infants born to people living with HIV continues to be a controversial issue. However, there is numerous evidence that reveals that in the context of sustained virological suppression, the risk of postnatal HIV transmission through breast milk is less than 1%. From the activism of people with HIV, civil society and the medical and scientific community, there is a demand for reopening the issue, with the purpose of defining new guidelines for the feeding of children born to people with HIV. This review analyzes the available scientific evidence and the current knowledge gaps regarding breastfeeding in HIV situations and proposes an institutional approach and shared decision-making modality for HIV-positive pregnant people who wish to breastfeed.

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