Adoption of the Revised DHHS Guidelines on Breastmilk Feeding and HIV in the United States: Clinical Practices and Barriers - Takeaways - MDSpire

Adoption of the Revised DHHS Guidelines on Breastmilk Feeding and HIV in the United States: Clinical Practices and Barriers

  • By

  • Kelechi Ikeri

  • Swosti Joshi

  • Vilmaris Quinones Cardona

  • Linda Hassouneh

  • Ogechukwu Menkiti

  • September 27, 2025

  • 0 min

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  • 1

    A survey of 389 US neonatologists and pediatric infectious disease specialists assessed breastfeeding practices for HIV-exposed infants.

  • 2

    Only 42% of neonatologists and 64% of PID specialists supported breastmilk from virally suppressed HIV parents as a feeding option.

  • 3

    Concerns about HIV transmission were the primary barrier to breastfeeding support, reported by 61% of PID specialists and 63% of neonatologists.

  • 4

    Less experienced neonatologists and those at nonacademic centers were significantly less likely to recommend breastmilk feeding.

  • 5

    Updated DHHS guidelines emphasize patient-centered counseling for breastfeeding decisions among parents living with HIV.

Original Source(s)

Adoption of the Revised DHHS Guidelines on Breastmilk Feeding and HIV in the United States: Clinical Practices and Barriers

  • by Kelechi Ikeri, Swosti Joshi, Vilmaris Quinones Cardona, Linda Hassouneh, Ogechukwu Menkiti

  • September 27, 2025

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