AAP OKs Breastfeeding for Some Moms With HIV on ART

Some mothers with HIV on antiretroviral therapy (ART) with undetectable viral loads can safely breastfeed their infants, according to a clinical report from the American Academy of Pediatrics (AAP).

For decades, the organization recommended against breastfeeding or providing breast milk from mothers with HIV to prevent transmission of the virus to infants.

The change in the AAP’s approach reflects the most current evidence that indicates a very low risk of HIV transmission to infants during breastfeeding for mothers taking ART with undetectable viral loads, wrote Lisa Abuogi, MD, MS, of the University of Colorado School of Medicine in Aurora, and colleagues in Pediatrics.

According to the authors, people with HIV who strongly wish to breastfeed should be able to if they meet the following criteria: ART was initiated early in or before pregnancy; the parent has sustained HIV viral suppression (viral load
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