Printer Friendly

Breastfeeding does not contribute to mortality among HIV-positive women in Kenya.

A prospective cohort study comparing 198 HIV positive Kenyan women who breastfed and 98 who formula-fed found no increased risk of overall mortality after two years. But the breastfeeding women had faster CD4 and body mass index declines. In a previous randomised clinical trial breastfeeding mothers did have an increased risk of mortality compared to those who formula-fed. Then, four subsequent African cohort studies found no increased risk. The women in this latest study were not randomised. The women differed as regards education level, access to flush toilets and experience of HIV-related illnesses. But they were similar in median age (25), were mostly married, and had similar viral loads and CD4 counts at baseline (32 weeks of pregnancy). Over the two-year follow-up, there were 12 deaths (6%) in breastfeeding women, eight related to HIV, and four (4%) in women who formula-fed. Risk of death was related to CD4 count but not feeding method, (1) The preponderance of evidence is that HIV-positive women are not compromised by breastfeeding and as formula-fed infants are more likely to die of causes other than HIV, replacement feeding has not reduced the overall risk of infant mortality. (2)

(1.) Otieno PA, et al. HIV-1 disease progression in breastfeeding and formula-feeding mothers: a prospective 2-year comparison of T cell subsets, HIV-RNA levels, and mortality. Journal of Infectious Diseases 2007;195:220-29.

(2.) Wilfert CM, Fowler MG. Balancing maternal and infant benefits and the consequences of breastfeeding in the developing world during the era of HIV infection. Journal of Infectious Diseases 2007;195: 165-67. Summary of both articles by D Thaczuk, 10 January 2007 at: < F2784693-8CA7-44F6-B490-78FOCC388254.asp>.
COPYRIGHT 2007 Reproductive Health Matters
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2007 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Title Annotation:ROUND UP: HIV/AIDS
Publication:Reproductive Health Matters
Article Type:Brief article
Geographic Code:6KENY
Date:May 1, 2007
Previous Article:Reduction in perinatal transmission of HIV.
Next Article:Safety of formula-feeding for HIV uninfected infants: Cote d'Ivoire.

Related Articles
Breastfeeding dangers.
Formula feeding a safe alternative to breastfeeding. (Round-Up: HIV/AIDS).
Ugandan mothers choose to breastfeed. (Round Up: HIV/AIDS).
HIV and infant feeding: global guidelines and local realities.
Breastfeeding and mortality among HIV-positive women up to one-year after delivery: Zambia.
Telling a new story about risk: gender, breastfeeding, and broadening the questions on child survival.
Safety of formula-feeding for HIV uninfected infants: Cote d'Ivoire.
Rights of HIV positive people to sexual and reproductive health: parenthood.
Exclusive breastfeeding--what is its place in HIV prevalent areas? How do we approach exclusive breastfeeding in the era of HIV?
Towards healthy mothers and children: a gender and rights approach to breastfeeding promotion.

Terms of use | Privacy policy | Copyright © 2021 Farlex, Inc. | Feedback | For webmasters |