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[Breastfeeding for HIV-positive mothers in Switzerland : are we ready to discuss ?]

Noémie Wagner, Pierre-Alex Crisinel, Christian R. Kahlert & Begoña Martinez De Tejada

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.
   
citation 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.
   
type journal paper/review (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 28-10-2020
journal title Rev Med Suisse (16/712)
ISSN print 1660-9379
pages 2050-2054
PubMed 33112519