Department of Paediatrics & Child Health, Stellenbosch University, Francie van Zijl Drive, Cape Town, 8000, South Africa.
Division of Epidemiology and Biostatistics, Department of Global Health, Stellenbosch University, Cape Town, South Africa.
AIDS Behav. 2018 Jul;22(Suppl 1):114-120. doi: 10.1007/s10461-018-2208-0.
As part of the Mother-Infant Health Study, we describe infant feeding practices among HIV-infected and HIV-uninfected mothers over a 12-month period when the Western Cape Province prevention of mother-to-child transmission (PMTCT) program was transitioning from a policy of exclusive formula feeding to one of exclusive breastfeeding. Two hundred pairs of mother and HIV-uninfected infant were included in the analysis, among whom 81 women were HIV uninfected and breastfeeding. Of the 119 HIV-infected mothers, 50 (42%) were breastfeeding and 69 (58%) were formula feeding. HIV-infected mothers predominantly breastfed for 8.14 (7.71-15.86) weeks; HIV-uninfected mothers predominantly breastfed for 8.29 (8.0-16.0) weeks; and HIV-infected mothers predominantly formula fed for 50.29 (36.43-51.43) weeks. A woman's HIV status had no influence on the time to stopping predominant breastfeeding (P = 0.20). Our findings suggest suboptimal duration of breastfeeding among both HIV-infected and HIV-uninfected mothers. Providing support for all mothers postdelivery, regardless of their HIV status, may improve breastfeeding practices.
作为母婴健康研究的一部分，我们描述了在西开普省预防母婴传播（PMTCT）项目从完全配方奶喂养政策向完全母乳喂养政策转变的 12 个月期间，HIV 感染和未感染母亲的婴儿喂养方式。在分析中纳入了 200 对母婴和未感染 HIV 的婴儿，其中 81 名母亲未感染 HIV 且正在母乳喂养。在 119 名 HIV 感染的母亲中，50 名（42%）正在母乳喂养，69 名（58%）正在配方奶喂养。HIV 感染的母亲主要母乳喂养 8.14 周（7.71-15.86）；未感染 HIV 的母亲主要母乳喂养 8.29 周（8.0-16.0）；而 HIV 感染的母亲主要配方奶喂养 50.29 周（36.43-51.43）。母亲的 HIV 状况对停止主要母乳喂养的时间没有影响（P=0.20）。我们的发现表明，HIV 感染和未感染的母亲母乳喂养时间都不理想。为所有产妇提供产后支持，无论其 HIV 状况如何，都可能改善母乳喂养方式。
