Common Pediatric Infections
True statement(s) regarding feeding of HlV-infected child is/are -(AIPG 2012)
|A||Breast feeding for 4-6 months then start weaning|
|B||Breast feeding for I year then start weaning|
|C||Exclusively top feeding|
|D||Breast feeding for 6 months & then rapid weaning|
Exclusively top feeding & ‘d’. Breast feeding for 6 months & then rapid weaning
a. HIV infection can be transmitted from infected mother to fetus by breast feeding (though this is the least common mode of vertical transmission for HIV).
b. It seems reasonable for women to substitute infant formula (top feeding) for breast milk if they are known to be HIV infected or are at risk for ongoing sexual or parenteral exposure io HIV.
c. However, the WHO recommends that developing countries where other diseases (diarrhea, pneumonia, malnutrition) substantially contribute to a high infant mortality rate, the benefit of breast feeding outweighs the risk for HIV transmission, and HIV infected women in developing countries should breast feed their infants for Ist 6 months of life followed by rapid weaning.
For HIV infected mother
1. Developed countries - Substitute top, feeding for breast feeding
2. Developing countries - Breast feed for 6 months followed by rapid weaning.