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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