Breastfeeding and HIV | Seronet

Breastfeeding and HIV | Seronet

A scarcity of knowledge. In a press launch printed on October 25, the TRT-5 CHV collective (Act Up Paris, Act Up Sud-Ouest, Acceptess-T, Lively Well being, Actions Remedies, AIDES, Arcat, Asud, the Household Committee, Draw me a sheep, Nova Dona, Hépatites/Sida Information Service, Sol En Si) in addition to the Corevih Arc Alpin, Ikambéré, the Marseille Sud Well being Community and Uraca-Basiliade advocate for accelerated analysis on breastfeeding for moms residing with HIV . “The rules of the World Well being Group (WHO) are clear: issued in 2009 and confirmed in 2016 and 2021, the WHO recommends that moms residing with HIV completely breastfeed for the primary 12 months of the kid. , in care contexts permitting entry to antiretroviral remedy and assist for adherence,” clarify the associations. “Nonetheless, within the majority of high-resource nations, the place system milk is available, breastfeeding was till lately discouraged and even prohibited. In most European suggestions, synthetic breastfeeding nonetheless stays the one fully efficient prevention of postnatal transmission of HIV,” the signatories deplore. The very complete press launch critiques the scientific literature on the dangers of transmission of HIV from mom to youngster via breastfeeding and factors to an absence of knowledge: “These hypotheses nonetheless have to be validated immediately. scientifically and at present, there aren’t any printed information which make it attainable to know the chance of transmission when the mom is in virological success as a result of there aren’t any giant cohorts together with moms with a continuously undetectable viral load”, underline associations. Like an open letter addressed to the scientific group, the third a part of the press launch takes inventory of the present suggestions and pleads for the institution of a European cohort: “Conscious of the weak point of the statistical pattern on the territorial stage (roughly 1,500 deliveries of HIV-positive girls per yr in France), we assist the proposal made by a bunch of European researchers to depend on current networks by involving the folks involved, and to gather information on mother-child {couples} (…). To conclude, we invite French analysis to incorporate the query of breastfeeding within the administration of being pregnant, assist for parenthood, within the coaching of caregivers and within the group of the well being system”. “Within the absence of clear suggestions and accessible data, caregivers (carers, associations, and many others.) are sometimes powerless to advise breastfeeding moms (…). A sense of double punishment is evoked: whether or not you breastfeed or not, you may be judged by these round you and/or the medical occupation”, deplore the associations which assist moms residing with HIV. And the press launch concludes: “Lastly, the ideas of the consultants who’re at present engaged on updating the knowledgeable report [coordonné par le Pr Delobel, ndlr] aren’t but identified, will they suggest breastfeeding with supervision? With or with out new child prophylaxis in the course of breastfeeding? We are going to solely have the reply in 2023”. Case to observe.

#Breastfeeding #HIV #Seronet

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