[Breastfeeding for HIV-positive mothers in Switzerland : are we ready to discuss ?]
Noémie Wagner, Pierre-Alex Crisinel, Christian R. Kahlert & Begoña Martinez De Tejada
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abstract
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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.
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citation
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Wagner N, Crisinel P A, Kahlert C R, Martinez de Tejada B.
[Breastfeeding for HIV-positive mothers in Switzerland : are we
ready to discuss ?]. Rev Med Suisse 2020; 16:2050-2054.
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type
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journal paper/review (Translation2::getLang(): unknown language "".
Use Translation2::setLang() to set a default language.)
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date of publishing
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28-10-2020
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journal title
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Rev Med Suisse (16/712)
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ISSN print
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1660-9379
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pages
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2050-2054
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PubMed
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33112519
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