Beruflich Dokumente
Kultur Dokumente
Dr KANUPRIYA CHATURVEDI
Dr. S.K. CHATURVEDI
Lesson Objectives
Understand the current global recommendations for infant
risks.
Describe steps for counselling HIV-positive mothers about
infant feeding.
Understand importance of postnatal follow-up and support
in infant feeding.
Infant Feeding:
HIV-Negative Mothers
UN Recommendations
Exclusive breastfeeding for 6 months
Breastfeeding continued for 2 years or beyond
Introduction of nutritionally adequate and safe
complementary foods after 6 months
Information to mothers about the risk of
HIV-infection late in pregnancy or during
breastfeeding
Exclusive Breastfeeding
Definition
Giving an infant only breast milk, with
the exception of drops or syrups
consisting of vitamins, mineral
supplements, or drugs
No food or drink other than breast
milk, not even water
Infant Feeding:
HIV-Positive Mothers
WHO Recommendations
Avoid all breastfeeding if replacement feeding is :
Acceptable
Feasible
Affordable
Sustainable &
Safe
Otherwise, exclusive breastfeeding during the first months of life
Disadvantages
Risk of passing
HIV to baby
Requires feeding on
demand
Mother requires
additional calories to
support
breastfeeding
counselling
Identify the range of feeding options that are acceptable,
Disadvantages
Breast-milk
substitute
is necessary
Mother's breasts
may become
engorged
Mother at risk of
becoming pregnant if
sexually active
Disadvantages
Infant is more likely to get
sick
Need reliable formula
supply
Formula is expensive
Requires clean water
Must be made fresh each
time
Infant needs to drink from a
cup
Not breastfeeding may raise
questions about mothers
HIV status
Disadvantages
Infant more likely to get sick
Must be made fresh each time
Difficult to digest
Multivitamin supplements
needed
Must add boiled water and sugar
Mother must stop breastfeeding
Does not contain antibodies
Infant needs to drink from a cup
Not breastfeeding may raise
questions about mothers HIV
status
Infant-Feeding Counselling
and Support
Infant-feeding counselling, education, and support
should
Infant-Feeding Counselling
and Support
Counselling Visits
At least one during the antenatal period
Immediately after birth
Within 7 days of birth to monitor post-partum and
infant-feeding progress
Monthly follow-up sessions
Additional sessions may be required during highrisk time periods
Infant-Feeding Counselling
and Support
Infant-Feeding Counselling Steps
STEP 1:
STEP 3:
STEP 4:
Infant-Feeding Counselling
and Support
Infant-Feeding Counselling Steps (continued)
STEP 5:
Demonstrate how to practice
chosen feeding option
Replacement feeding
Exclusive breastfeeding
Other breast milk options
STEP 6:
Summary
HIV transmission risk continues if child is breastfed.
HIV-infected women, and those with unknown status,
need infant-feeding counselling and support.
The mother has the right to choose how she wants to
feed her infant, and the healthcare workers job to
support this choice.
Summary
HIV-infected mothers should avoid breastfeeding
when replacement feeding is acceptable,
feasible, affordable, sustainable, and safe.
If breastfeeding is chosen option, exclusive
breastfeeding with early cessation is appropriate
at or before 6 months.
Summary
Counselling, education, and support help establish and
maintain safe infant-feeding practices.
Prevent misuse of replacement feeding.
Promote exclusive breastfeeding for general
population.
Discourage use of replacement milk supplies by
mothers whose infants dont need them.