Breastfeeding practices and perspectives in the setting of maternal HIV in high-income countries since the shift in the United States national guidelines: a scoping review - Summary - MDSpire
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Breastfeeding practices and perspectives in the setting of maternal HIV in high-income countries since the shift in the United States national guidelines: a scoping review
To capture the shift in clinical practices and perspectives of people living with HIV and their healthcare providers following the 2023 update of U.S. national guidelines on infant feeding.
Approach:
Methodology: Conducted a scoping review following PRISMA guidelines, searching articles published from 2023 onwards related to infant feeding guidelines in the context of maternal HIV.
Key Findings:
Emergent safety data on breastfeeding among people living with HIV.
Variability in provider experiences and comfort around breastfeeding, influenced by a lack of institutional guidelines.
Counseling on infant feeding should be conducted by a multidisciplinary care team and tailored to individual patients.
Patient decisions on infant feeding are influenced by sociocultural contexts, personal motivations, knowledge on breastfeeding safety, and communication with healthcare providers.
Interpretation:
Limitations:
Limited data on provider clinical practices around infant feeding in the context of maternal HIV.
Exclusion of non-English studies may limit the comprehensiveness of the review.
Conclusion:
Continued research is needed on maternal and infant testing frequency in the postpartum period and consistent implementation of infant feeding guidelines across healthcare practices.
