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 - Takeaways - MDSpire

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

  • By

  • Naquia Unwala

  • Presley Simmons

  • C. Scott Dorris

  • Rachel K. Scott

  • June 26, 2026

  • 0 min

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  • 1

    The 2023 U.S. national guidelines for infant feeding in maternal HIV emphasize evidence-based counseling and shared decision-making.

  • 2

    The review found variability in provider experiences and comfort levels regarding breastfeeding among people living with HIV.

  • 3

    Emergent safety data supports breastfeeding among people living with HIV when maternal viral load is suppressed and ART is used.

  • 4

    Counseling on infant feeding should be conducted by a multidisciplinary care team tailored to individual patient needs.

  • 5

    The updated guidelines aim to optimize infant feeding counseling by being evidence-based, culturally sensitive, and free from bias.

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