Further evidence that exclusive breast-feeding reduces mother-to-child HIV transmission compared with mixed feeding
2008

Breast-Feeding and HIV Transmission

Sample size: 958 publication Evidence: high

Author Information

Author(s): Mary Glenn Fowler

Primary Institution: Makerere University

Hypothesis

Exclusive breast-feeding is related to a reduction in HIV transmission during the first months of life compared with mixed feeding.

Conclusion

Exclusive breast-feeding significantly reduces the risk of HIV transmission from mother to child compared to mixed feeding.

Supporting Evidence

  • The study found that 84% of mothers achieved exclusive breast-feeding in the first four to six months.
  • There was a 3.5–4-fold increased hazard of infant infection by age four months among those not exclusively breast-fed.
  • 86% of early transmissions occurred among women with lower CD4 counts.

Takeaway

Breast-feeding only milk for the first few months helps keep babies safe from HIV, and many mothers can do it with the right support.

Methodology

The study used observational data from a randomized clinical trial assessing infant HIV infection and HIV-free survival outcomes.

Potential Biases

There may be risks of bias due to self-reported data on infant feeding practices.

Limitations

The study's limitations included reliance on maternal self-report for infant feeding practices and potential confounding factors.

Participant Demographics

Infants born to HIV-infected women in Lusaka, Zambia.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pmed.0050063

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