Infant Feeding for Persons Living With and at Risk for HIV in the United States: Clinical Report

• DOI: 10.1542/peds.2024-066843
• Publication Date: 2024-05-20T08:06:11Z
• Authors: Lisa Abuogi; Lawrence Noble; Christiana Smith; ; Natella Yurievna ...; Lisa Abuogi; Susan Gillespie; Anne Neilan; Rosemary Olivero; Carina A. Rodriguez; Julia Rosebush; George Siberry; Steven Nesheim; Bill G. Kapogiannis; Athena P. Kourtis; Heather Stob; ; Lori Feldman-Winter; Maya Bunik; Sahira Long; Monica Richter; Emily Hannon; Ann Kellams; Sharon Mass; Lawrence Noble; Rose St. Fleur; Lisa Stellwagen; Jennifer Thomas; Joan Younger Meek; Kera Beskin
• Keywords: Health Professionals

Pediatricians and pediatric health care professionals caring for infants born to people living with at risk HIV infection are likely be involved in providing guidance on recommended infant feeding practices. Care team members need aware of the transmission from breastfeeding recommendations perinatal exposure United States. The via a parent who is receiving antiretroviral treatment (ART) virally suppressed estimated less than 1%. American Academy Pediatrics recommends that States, avoidance only option 0% transmission. However, may express desire breastfeed, pediatricians should prepared offer family-centered, nonjudgmental, harm reduction approach support ART sustained viral suppression below 50 copies per mL breastfeed. Pediatric counsel not or but without recommend against breastfeeding. testing all pregnant persons preexposure prophylaxis test negative high acquisition.