Hi Pam,
The finalised, current Infant Feeding Guidelines for Health Workers can be downloaded at http://www.eatforhealth.gov.au/guidelines
Karleen Gribble
Australia
On 14/04/2014, at 12:25 AM, Pamela Morrison wrote:
> Calling colleagues in Australia. I'm working on an HIV and infant feeding update, and came across this statement from ABA dated December 2011. I'm wondering if there has been any progress?? Thanks if anyone can help.
>
> Pamela Morrison IBCLC
> Rustington England
> -------------------------------------------
> From page 11, Australian Breastfeeding Association Draft Infant Feeding Guidelines for Health Workers
> Submission from the Australian Breastfeeding Association December 2011 available at
> <https://www.breastfeeding.asn.au/system/files/ABA%20submission%20re%20Infant%20Feeding%20Guidelines.pdf>https://www.breastfeeding.asn.au/system/files/ABA%20submission%20re%20Infant%20Feeding%20Guidelines.pdf (accessed 13 March 2013)
>
> Breastfeeding and HIV
> The draft Guidelines state on page 106 that, in Australia, women who are HIV positive are advised not to breastfeed and refer to statements issued by two United States bodies in 2006 and 2008. There is no reference to more recent statements, or more recent research. In this regard, we note that in a recent large study with extensive follow-up, no cases of postnatal transmission occurred among women adherent to antiretroviral prophylaxis/therapy (ART) (Shapiro RL, Hughes MD, Ogwa A, Kitch D, Lockman S, Moffat C et al, Antiretroviral regimens in pregnancy and breastfeeding in Botswana; N Engl J Med 2010: 362: 2282-2294). This study, along with similar research findings, prompted the World Health Organization to release new Guidelines on HIV and Infant Feeding in 2010, which contained revised principles and recommendations for infant feeding in the context of HIV.
> In response to this, feeding guidance issued in 2011 by the British HIV Association and Children's HIV Association recognises that a woman on effective triple ART, with a repeated undetectable viral load at delivery may, after careful consideration, choose to exclusively breastfeed for the first 6 months of her baby's life. In view of this more recent research, ABA urges the NHMRC to revise the Guidelines to enable women who are HIV positive to make informed decisions in relation to infant feeding, and to equip health workers with appropriate information to permit this to occur.
>
>
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