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Journal of Tropical Pediatrics 1994 40(1):6-11; doi:10.1093/tropej/40.1.6
© 1994 by Oxford University Press
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review-article

Breast-feeding and HIV—a Balance of Risks

William A. M. Cutting, FRCPE, DCH

Department of Child Life and Health, University of Edinburgh 17 Hatton Place, Edinburgh EH9 1UW, UK

HIV-1 infection may be transmitted by breast-feeding. The risk of vertical transmission varies with the stage of maternal infection, but is 29 per cent if a mother acquires infection during lactation. The risk of infant death by not breast-feeding in a poor and contaminated environment is greater than the risk of HIV infection when an HIV-positive mother breast-feeds. Vertical transmission can be reduced if women avoid high risk activities during pregnancy and especially lactation.


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