Gloria, I too was at the edge of my seat watching this one - I was saying "OH 
NO OH  NO "  to his "no breastfeeding with HIV".  I have recently seen 
research - thanks to Jan Riordan's course, in reference to HIV and breastfeeding and 
I thought I would share this info. I'm sure most of you already know this 
anyway.

""Mixing breastfeeding with other feedings to gain some of the advantages of 
breastmilk but limit the cumulative exposure to infection may damage the 
infant's gut, allowing the virus to cross the the intestinal mucosa more easily. An 
important prospective study (Lancet 354:471-6, August 7, 1999) by Coutsoudis 
et al. in South Africa found that at three months exclusively breastfed babies 
had lower rates of transmission of HIV than never-breastfed babies. Infants 
who had received both breastmilk and formula had rates of infection 60% 
higherthan those who had been exclusively breastfed. This study is continuing. New 
data even more strongly supports exclusive breastfeeding and lower HIV+ rates(La 
Leche League, South Africa, Summer 2000). <A HREF="http://blackboard.wichita.edu/bin/common/#tedgreiner">Ted Greiner's comments on 
breastfeeding</A> by HIV positive women are worth studying because he points out the 
tremendous problems of supporting artificial feeding for poor women in developing 
nations. " --Jan Riordan 

Donna Kimick
Intern LC
Long Island NY 

<<Date:    Thu, 11 Dec 2003 23:09:51 EST
From:    Gloria Buoncristiano-Thai <[log in to unmask]>
Subject: ER

I was shocked with tonight's episode.   A good shocked.   Dr. Carter is in
Africa still.   He was treating an HIV positive pregnant woman.   He goes off
telling her she can't breastfeed the baby.   They will give her formula--he 
made
some comment how great formula was.   There was another doctor there who I
know was feeling as I was.   She proceeds to tell him that the formula they
receive from UNICEF is powdered and that the mom is in a refugee camp and the
water would not be safe.   He counters with let's get bottled water, and she 
says
for 8 feeds a day for a year!   She then says that the baby would probably 
get
(die?) of cholera--can't remember what else--she gave the percentage of how
likely that would be---high.   She then said that the chance of mom passing 
the
HIV thru her milk was a 3% benefit!   Who was working on this one?!

Aloha,
Gloria Thai>>






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