Policy Change: People with HIV Can Breastfeed with Effective Medications

New Guidelines Allow People with HIV to Breastfeed Their Babies

In a significant policy change, the American Academy of Pediatrics announced on Monday that people with HIV can now breastfeed their babies, as long as they are taking medications that effectively suppress the virus that causes AIDS. This reversal in recommendations comes after decades of advising against breastfeeding for individuals with HIV.

The report states that with the advancements in antiretroviral therapy, the risk of transmitting HIV through breast milk can be reduced to less than 1%. Dr. Lisa Abuogi, a pediatric HIV expert and lead author of the report, emphasized the importance of shared decision-making between healthcare providers and patients in light of these new guidelines.

While the medications can greatly reduce the risk of HIV transmission, it is important to note that abstaining from breastfeeding remains the only surefire way to prevent spreading the virus. However, the report also highlights the benefits of exclusive breastfeeding for the babies’ first six months, as switching between breast milk and formula can increase the risk of HIV infection.

According to Dr. Lynne Mofenson, an adviser to the Elizabeth Glaser Pediatric AIDS Foundation, the number of HIV infections transmitted from mothers to babies during breastfeeding has significantly decreased over the years, thanks to the widespread use of antiretroviral therapy.

The policy change by the American Academy of Pediatrics follows similar revisions by the National Institutes of Health and the Centers for Disease Control and Prevention, which now support breastfeeding for individuals with consistent viral suppression. This new guidance aims to prioritize patient preferences and not stigmatize individuals with HIV.

Breastfeeding not only provides optimal nutrition for babies but also offers numerous health benefits for both the baby and the mother. The World Health Organization had recommended breastfeeding for women with HIV in developing countries, taking into account the risks of infant mortality in areas without access to safe alternatives to breast milk.

The shift in guidelines has been welcomed by individuals like Ci Ci Covin, who was previously denied the option to breastfeed her first child due to her HIV status. With the support of her healthcare team, she successfully breastfed her second child and highlighted the importance of this bonding experience.

Overall, the new recommendations provide vital guidance for healthcare providers and families, emphasizing the importance of patient-centered care and informed decision-making. The evolving understanding of HIV and breastfeeding reflects a shift towards inclusivity and support for individuals living with the virus.