University of Texas Health Science Center at Houston, Cizik School of Nursing, 6901 Bertner Avenue, SON 5th Floor, Houston, TX 77030, USA.
Department of Pediatrics, University of Colorado School of Medicine, 13123 East 16th Avenue, Box 055, Aurora, CO 80045, USA.
Nurs Clin North Am. 2024 Jun;59(2):309-327. doi: 10.1016/j.cnur.2023.12.004. Epub 2024 Mar 15.
This article summarizes the updated guidelines on breastfeeding with HIV with an emphasis on using relational decision-making and intellectual humility to support the conversation around infant feeding choices. The complex cultural experiences and historical disparities that influence these decisions are highlighted, along with an overview of the recent changes to recommendations for breastfeeding in people with HIV. The article describes individualized clinical scenarios that consider infant feeding decisions, outlines communication and support strategies for health care providers, and proposes a relational decision-making model to guide discussions on infant feeding options.
本文总结了有关 HIV 母乳喂养的最新指南,重点强调了使用关系决策和知识谦逊来支持有关婴儿喂养选择的对话。本文突出了影响这些决策的复杂文化体验和历史差异,以及最近对 HIV 感染者母乳喂养建议的更改。本文描述了考虑婴儿喂养决策的个体化临床情况,概述了卫生保健提供者的沟通和支持策略,并提出了一个关系决策模型来指导有关婴儿喂养选择的讨论。