Infant feeding decisions among people living with human immunodeficiency virus in the United States: a pilot study - Summary - MDSpire

Infant feeding decisions among people living with human immunodeficiency virus in the United States: a pilot study

  • By

  • Laura Cox

  • Sarah A. Gutin

  • Ifeyinwa V. Asiodu

  • June 18, 2026

  • 0 min

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Objective:

To examine the experiences and attitudes related to infant feeding decision-making among people living with HIV in the US, particularly in light of recent changes in national guidelines.

Key Findings:
  • Participants emphasized the need for support from family, friends, and healthcare providers, highlighting the importance of a supportive network.
  • Fear of HIV transmission was a primary reason for choosing formula over breastfeeding, indicating a need for better education on safe breastfeeding practices.
  • Stigma related to HIV affected participants' discussions about infant feeding, suggesting a need for stigma reduction initiatives.
  • Participants desired discussions about infant feeding options with healthcare providers, regardless of their feeding intentions, indicating a gap in current healthcare practices.
Interpretation:

Multiple factors influence infant feeding decisions among people living with HIV, highlighting the need for an informed, free-choice model in healthcare that empowers individuals to make decisions based on unbiased information.

Limitations:
  • The study had a small sample size of ten participants, which may limit the diversity of experiences captured.
  • Findings may not be generalizable to all individuals living with HIV, particularly those outside the demographic of the study.
Conclusion:

Further research is urgently needed to ensure people living with HIV are fully supported in their infant feeding decisions, especially in light of the recent guideline changes.

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