Haberl, Lila, Audebert, Franz, Feiterna-Sperling, Cornelia, Gillor, Daniel, Jakubowski, Peter, Jonsson-Oldenbuettel, Celia, Khaykin, Pavel, Kiener, Rita, Reitter, Anke, Rieke, Ansgar, Rodriguez, Elena, Roessler, Steve, Rump, Jorg-Andres, Schuettfort, Gundolf, Stephan, Christoph, Ulmer, Albrecht, von Braun, Amrei, von Weizsaecker, Katharina and Haberl, Annette (2021). Not Recommended, But Done: Breastfeeding with HIV in Germany. Aids Patient Care STDS, 35 (2). S. 33 - 39. NEW ROCHELLE: MARY ANN LIEBERT, INC. ISSN 1557-7449

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Abstract

Breastfeeding (BF) in mothers living with HIV (MLWH) is still discussed controversially in resource-rich settings. In Germany, where formula feeding is recommended for MLWH single BF cases have been reported, but no systematic data collection and analysis are available so far. This study, titled HELENE, aims to fill this data gap. A questionnaire covering the course of BF was distributed by a graduate student visiting each study site. Information was collected from patient files and by personal communication with the health care provider. Primary study objectives were the duration of BF and the maternal antiretroviral treatment (ART). Fifteen treatment centers across Germany contributed a total of 42 BF cases, observed from May 2009 to July 2020. There was an increasing number of BF cases over time. The median duration of BF was 20 weeks varying from single BF of colostrum to 104 weeks. All BF women except one elite controller received ART: 39% non-nucleoside reverse transcriptase inhibitor-, 37% INSTI-, 29% protease inhibitor-based regimens; one woman was on maraviroc. Thirty-nine percent of the ART regimens included drugs that were not recommended by the German-Austrian pregnancy guidelines. Our findings highlight the diversity of BF cases in Germany in terms of duration, maternal ART, and monitoring. Since the number of BF cases is increasing, guidelines are obliged to implement more detailed recommendations on BF, the monitoring of BF mothers, and the follow-up of the infants. There is an urgent need for prospective national and European data collections to further improve HIV prevention of mother-to-child transmission (PMTCT) in the setting of BF.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Haberl, LilaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Audebert, FranzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Feiterna-Sperling, CorneliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gillor, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jakubowski, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jonsson-Oldenbuettel, CeliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Khaykin, PavelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kiener, RitaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reitter, AnkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rieke, AnsgarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rodriguez, ElenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roessler, SteveUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rump, Jorg-AndresUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuettfort, GundolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stephan, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ulmer, AlbrechtUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Braun, AmreiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Weizsaecker, KatharinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haberl, AnnetteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-601244
DOI: 10.1089/apc.2020.0223
Journal or Publication Title: Aids Patient Care STDS
Volume: 35
Number: 2
Page Range: S. 33 - 39
Date: 2021
Publisher: MARY ANN LIEBERT, INC
Place of Publication: NEW ROCHELLE
ISSN: 1557-7449
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
Public, Environmental & Occupational Health; Infectious DiseasesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/60124

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