>The 1/4 that becomes HIV infected via
bf we can try and prevent by not breastfeeding or by adapting breastfeeding
practices to a better regimen. But what about those other children, the
other
3/4, how can transmission be prevented for them? It *is* the bigger group.<

The standard 'wisdom' on this, in the UK, is that women who are hiv positive
should have an elective cesarian section, and antiretroviral therapy during
pregnancy, or, minimum, during delivery.

I have long wondered why no one interested in birth is challenging the
variety of assumptions around the c-section research.  At least with
breastfeeding there is some questioning going on.

I would also return to the point (made my George Kent) that the point is not
so much prevention of hiv transmission but health outcomes.

Magda Sachs
Breastfeeding Supporter, bfN, UK



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