Which of the following is true regarding breast feeding in HIV positive mother?
Correct Answer: Breast feeding doubles the risk of mother to child transmission of infection
Description: Ans. is 'b' i.e., Breast feeding doubles the risk of mother to child transmission of infection Perinatal transmission of HIVVertical transmission to the neonates is about 14-25%o Transmission of HIV 2 is less frequent (1 -4%) than for HIV 1 (15-40%). Transplacental transmission occurs: 20% before 36 weeks, over 80% of transmissions occur around the time of labor and deliveryo Vertical transmission is more in cases with preterm birth and with prolonged membrane ruptureo Risks of vertical transmission is directly related to maternal viral load (measured by HIV RN A) and inversely to maternal immune status (CD + count).o Maternal anti-retroviral therapy reduces the risk of vertical transmission by 70%.o Breastfeeding doubles the risk of maternal to child transmission (14% to 28%) of infection.Post partum care in HIV positive mother Breastfeedingo Doubles the risk of MTCT (from 14% to 28%) but where alternative forms of infant nutrition are not safe, the risks associated with breastfeeding may be acceptedo WHO recommends exclusive breast feeding in the developing countries for the first 6 monthso Exclusive replacement feeding is done only when AFASS criteria is fulfilled. o Mother is helped to make an informed choice.
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Gynaecology & Obstetrics
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