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HIV Breastfeeding
This 2021 photo provided by Ci Ci Covin shows her nursing her newborn, Zuri, in Philadelphia. When Covin, diagnosed with HIV over a decade earlier, became pregnant with her now 2-year-old daughter, her health care team helped her successfully breastfeed for seven months. Covin took her prescriptions as directed and also gave the baby drugs to prevent infection. (Courtesy Ci Ci Covin via AP)

US pediatricians group reverses decades-old ban on breastfeeding for those with HIV

A top U.S. pediatricians’ group is making a sharp policy change about breastfeeding by people with HIV

By Jonel Aleccia
Published - May 20, 2024, 12:21 AM ET
Last Updated - May 27, 2024, 12:30 AM EDT

People with HIV can breastfeed their babies, as long as they are taking medications that effectively suppress the virus that causes AIDS, a top U.S. pediatricians’ group said Monday in a sharp policy change.

The new report from the American Academy of Pediatrics reverses recommendations it had in place since the start of the HIV epidemic in the 1980s.

It recognizes that routinely prescribed drugs can reduce the risk of transmitting HIV via breast milk to less than 1%, said Dr. Lisa Abuogi, a pediatric HIV expert at the University of Colorado and lead author of the report.

“The medications are so good now and the benefits for mom and baby are so important that we are at a point where it is important to engage in shared decision-making,” Abuogi said.

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