Is breast not best? Feeding babies born to HIV-positive mothers: Bringing balance to a complex issue

Jean Humphrey, Peter Iliff

Research output: Contribution to journalReview articlepeer-review

Abstract

Breastfeeding prevents millions of infant deaths each year throughout the world but causes at least one-third of all pediatric HIV infections. The first randomized trial of breastfeeding versus formula feeding, reported from Nairobi in March 2000, demonstrated an improved outcome for babies of highly selected HIV-positive mothers assigned to formula feed. However, several conditions must be in place and accepted before such replacement feeding can increase HIV-free survival. The proportion of sub-Saharan African women who have access to and will accept these conditions is small. In the short term, efforts to make breastfeeding safer will probably benefit a greater number of African babies.

Original languageEnglish (US)
Pages (from-to)119-127
Number of pages9
JournalNutrition reviews
Volume59
Issue number4
DOIs
StatePublished - Apr 2001

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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