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Successful implementation of new Swiss recommendations on breastfeeding of infants born to women living with HIV

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Successful implementation of new Swiss recommendations on breastfeeding of infants born to women living with HIV. / Crisinel, Pierre Alex; Kusejko, Katharina; Kahlert, Christian R; Wagner, Noémie; Beyer, Leila Sultan; De Tejada, Begoña Martinez; Hösli, Irene; Vasconcelos, Malte Kohns; Baumann, Marc; Darling, Katharine; Duppenthaler, Andrea; Rauch, Andri; Paioni, Paolo; Aebi-Popp, Karoline.

in: EUR J OBSTET GYN R B, Jahrgang 283, 04.2023, S. 86-89.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Crisinel, PA, Kusejko, K, Kahlert, CR, Wagner, N, Beyer, LS, De Tejada, BM, Hösli, I, Vasconcelos, MK, Baumann, M, Darling, K, Duppenthaler, A, Rauch, A, Paioni, P & Aebi-Popp, K 2023, 'Successful implementation of new Swiss recommendations on breastfeeding of infants born to women living with HIV', EUR J OBSTET GYN R B, Jg. 283, S. 86-89. https://doi.org/10.1016/j.ejogrb.2023.02.013

APA

Crisinel, P. A., Kusejko, K., Kahlert, C. R., Wagner, N., Beyer, L. S., De Tejada, B. M., Hösli, I., Vasconcelos, M. K., Baumann, M., Darling, K., Duppenthaler, A., Rauch, A., Paioni, P., & Aebi-Popp, K. (2023). Successful implementation of new Swiss recommendations on breastfeeding of infants born to women living with HIV. EUR J OBSTET GYN R B, 283, 86-89. https://doi.org/10.1016/j.ejogrb.2023.02.013

Vancouver

Crisinel PA, Kusejko K, Kahlert CR, Wagner N, Beyer LS, De Tejada BM et al. Successful implementation of new Swiss recommendations on breastfeeding of infants born to women living with HIV. EUR J OBSTET GYN R B. 2023 Apr;283:86-89. https://doi.org/10.1016/j.ejogrb.2023.02.013

Bibtex

@article{837b79e2232c4a90ba8790915cace076,
title = "Successful implementation of new Swiss recommendations on breastfeeding of infants born to women living with HIV",
abstract = "INTRODUCTION: Swiss national recommendations advise, since end of 2018, supporting women with HIV who wish to breastfeed. Our objective is to describe the motivational factors and the outcome of these women and of their infants.METHODS: mothers included in MoCHiV with a delivery between January 2019 and February 2021 who fulfilled the criteria of the {"}optimal scenario{"} (adherence to cART, regular clinical care, and suppressed HIV plasma viral load (pVL) of <50 RNA copies/ml) and who decided to breastfeed after a shared decision-making process, were approached to participate in this nested study and asked to fill-in a questionnaire exploring the main motivating factors for breastfeeding.RESULTS: Between January 9, 2019 and February 7, 2021, 41 women gave birth, and 25 decided to breastfeed of which 20 accepted to participate in the nested study. The three main motivational factors of these women were bonding, neonatal and maternal health benefits. They breastfed for a median duration of 6.3 months (range 0.7-25.7, IQR 2.5-11.1). None of the breastfed neonates received HIV post-exposure prophylaxis. There was no HIV transmission: 24 infants tested negative for HIV at least 3 months after weaning; one mother was still breastfeeding when we analyzed the data.CONCLUSIONS: As a result of a shared decision-making process, a high proportion of mothers expressed a desire to breastfeed. No breastfed infant acquired HIV. The surveillance of breastfeeding mother-infant pairs in high resource settings should be continued to help update guidelines and recommendations.",
keywords = "Infant, Newborn, Pregnancy, Infant, Female, Humans, Breast Feeding, HIV Infections/drug therapy, Switzerland, Parturition, Mothers, Infectious Disease Transmission, Vertical/prevention & control",
author = "Crisinel, {Pierre Alex} and Katharina Kusejko and Kahlert, {Christian R} and No{\'e}mie Wagner and Beyer, {Leila Sultan} and {De Tejada}, {Bego{\~n}a Martinez} and Irene H{\"o}sli and Vasconcelos, {Malte Kohns} and Marc Baumann and Katharine Darling and Andrea Duppenthaler and Andri Rauch and Paolo Paioni and Karoline Aebi-Popp",
note = "Copyright {\textcopyright} 2023 The Authors. Published by Elsevier B.V. All rights reserved.",
year = "2023",
month = apr,
doi = "10.1016/j.ejogrb.2023.02.013",
language = "English",
volume = "283",
pages = "86--89",
journal = "EUR J OBSTET GYN R B",
issn = "0301-2115",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Successful implementation of new Swiss recommendations on breastfeeding of infants born to women living with HIV

AU - Crisinel, Pierre Alex

AU - Kusejko, Katharina

AU - Kahlert, Christian R

AU - Wagner, Noémie

AU - Beyer, Leila Sultan

AU - De Tejada, Begoña Martinez

AU - Hösli, Irene

AU - Vasconcelos, Malte Kohns

AU - Baumann, Marc

AU - Darling, Katharine

AU - Duppenthaler, Andrea

AU - Rauch, Andri

AU - Paioni, Paolo

AU - Aebi-Popp, Karoline

N1 - Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.

PY - 2023/4

Y1 - 2023/4

N2 - INTRODUCTION: Swiss national recommendations advise, since end of 2018, supporting women with HIV who wish to breastfeed. Our objective is to describe the motivational factors and the outcome of these women and of their infants.METHODS: mothers included in MoCHiV with a delivery between January 2019 and February 2021 who fulfilled the criteria of the "optimal scenario" (adherence to cART, regular clinical care, and suppressed HIV plasma viral load (pVL) of <50 RNA copies/ml) and who decided to breastfeed after a shared decision-making process, were approached to participate in this nested study and asked to fill-in a questionnaire exploring the main motivating factors for breastfeeding.RESULTS: Between January 9, 2019 and February 7, 2021, 41 women gave birth, and 25 decided to breastfeed of which 20 accepted to participate in the nested study. The three main motivational factors of these women were bonding, neonatal and maternal health benefits. They breastfed for a median duration of 6.3 months (range 0.7-25.7, IQR 2.5-11.1). None of the breastfed neonates received HIV post-exposure prophylaxis. There was no HIV transmission: 24 infants tested negative for HIV at least 3 months after weaning; one mother was still breastfeeding when we analyzed the data.CONCLUSIONS: As a result of a shared decision-making process, a high proportion of mothers expressed a desire to breastfeed. No breastfed infant acquired HIV. The surveillance of breastfeeding mother-infant pairs in high resource settings should be continued to help update guidelines and recommendations.

AB - INTRODUCTION: Swiss national recommendations advise, since end of 2018, supporting women with HIV who wish to breastfeed. Our objective is to describe the motivational factors and the outcome of these women and of their infants.METHODS: mothers included in MoCHiV with a delivery between January 2019 and February 2021 who fulfilled the criteria of the "optimal scenario" (adherence to cART, regular clinical care, and suppressed HIV plasma viral load (pVL) of <50 RNA copies/ml) and who decided to breastfeed after a shared decision-making process, were approached to participate in this nested study and asked to fill-in a questionnaire exploring the main motivating factors for breastfeeding.RESULTS: Between January 9, 2019 and February 7, 2021, 41 women gave birth, and 25 decided to breastfeed of which 20 accepted to participate in the nested study. The three main motivational factors of these women were bonding, neonatal and maternal health benefits. They breastfed for a median duration of 6.3 months (range 0.7-25.7, IQR 2.5-11.1). None of the breastfed neonates received HIV post-exposure prophylaxis. There was no HIV transmission: 24 infants tested negative for HIV at least 3 months after weaning; one mother was still breastfeeding when we analyzed the data.CONCLUSIONS: As a result of a shared decision-making process, a high proportion of mothers expressed a desire to breastfeed. No breastfed infant acquired HIV. The surveillance of breastfeeding mother-infant pairs in high resource settings should be continued to help update guidelines and recommendations.

KW - Infant, Newborn

KW - Pregnancy

KW - Infant

KW - Female

KW - Humans

KW - Breast Feeding

KW - HIV Infections/drug therapy

KW - Switzerland

KW - Parturition

KW - Mothers

KW - Infectious Disease Transmission, Vertical/prevention & control

U2 - 10.1016/j.ejogrb.2023.02.013

DO - 10.1016/j.ejogrb.2023.02.013

M3 - SCORING: Journal article

C2 - 36801775

VL - 283

SP - 86

EP - 89

JO - EUR J OBSTET GYN R B

JF - EUR J OBSTET GYN R B

SN - 0301-2115

ER -