>Since we don't
know which infants are infected (accurate testing can be done at 1 month of
age,) or which will be infected via breastfeeding, that's why the
recommendation that no infant with an HIV positive mom in an industrialized
country be breastfed.<

But this does not explain why women in industrialised countries (and, btw, I
thought the thinking now ws to consider women in resource-rick and resource
poor settings, as women's resources vary within countriy settings -- asylum
seekers here may be in an industrialised setting but they are really not in
a position where replacement feeding is safe, feasible, affordable, etc) are
not offered the option of expressing and heat treating their own milk.
Then, if the baby is deemed later to be hiv+ (presumable via in utero or at
birth transmission) the mother could also choose to transition the baby to
the breast.

Anecdotal reports suggest that this option is 'not allowed' here in the UK,
even when there is a breastfeeding person with the expertise to support
this.

Magda Sachs, Breastfeeding Supporter, BfN, UK


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