Allaitement des femmes vivant avec le VIH : sommes-nous prêts à ouvrir la discussion ? [Breastfeeding for HIV-positive mothers in Switzerland : are we ready to discuss ?]

Details

Serval ID
serval:BIB_A4F932009D38
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Allaitement des femmes vivant avec le VIH : sommes-nous prêts à ouvrir la discussion ? [Breastfeeding for HIV-positive mothers in Switzerland : are we ready to discuss ?]
Journal
Revue medicale suisse
Author(s)
Wagner N., Crisinel P.A., Kahlert C., Martinez De Tejada B.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
28/10/2020
Peer-reviewed
Oui
Volume
16
Number
712
Pages
2050-2054
Language
french
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Abstract
Mother-to-child transmission (MTCT) is almost inexistent in Switzerland nowadays. This success has been achieved with systematic screening of HIV in pregnant women, provision of antiretroviral treatment (ART), elective cesarean-section (CS), neonatal antiretroviral prophylaxis (ARP) and avoidance of breastfeeding. Elective CS and neonatal ARP are no longer recommended when the viral load (VL) is suppressed. Recent studies have shown that the risk of HIV MTCT through breastfeeding is extremely rare if not zero when the mother is treated, has a suppressed VL and is correctly followed-up. It is time to be open to discuss the risks and benefits of breastfeeding with HIV-infected pregnant women and to enter in a shared decision-making process, as recommended by the new Swiss guidelines. Close monitoring is mandatory in case of breastfeeding.
Pubmed
Create date
02/11/2020 12:25
Last modification date
06/11/2020 6:26
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