Matida L, Pupo L, Pluciennik A, Gianna C; International Conference on AIDS.

Int Conf AIDS. 2000 Jul 9-14; 13: abstract no. ThPeC5369.

L. Matida, Program of STD/AIDS - Sao Paulo - Brazil, R. Santa Cruz, 81, CEP:04121-000, Sao Paulo, Brazil, Tel.: +55 11 302 231 36, Fax: +55 11 302 244 39, E-mail: lmatida@uol.com.br

Background: The HIV can be transmitted from mother to child during pregnancy, during delivery and by breastfeeding. The number of infected women by HIV, in fertility age, is increasing at State of Sao Paulo (SSP). At SSP (35 million inhab.) occur about 700.000 deliveries/year and the estimation of the pregnant women with positive HIV is 0.8%, that is, 5.600 possible pregnant women with positive HIV/year. The exclusive breastfeeding can be responsible for 14% to 29% to the risk of HIV transmission from mother to child. So, the SSP recommend these women do not breastfeed their children. The World Health Organization recommend nutritional alternatives, considering aspects about nutrients composition, cost and easy practice. Among the nutritional options for this child is included the bank of human milk (BHM) with unquestionable value. And the objective of this study is to evaluate the indication of BHM for children from HIV positive mothers at SSP. Methodology: Knowledge of the BHM registered at the Sanitary Surveillance of SSP, by evaluation of the official report from these services at 1998. Result: At the Sanitary Surveillance are registered 23 BHM (1998). The mean of the women who donate their milk for these services is 50 women/year; 90% of these banks do not have structure to facilitate the systematic collection and offering of the human milk; 95% of these children born in public maternity, that is, their responsible probably have financial difficulties to a systematical access for this pasteurized milk; 80% of these banks are located in maternity of reference, that is, where born many premature children and/or children with low weight or with serious diseases for whom this type of milk is very important. Conclusions: Was observed an insufficient offer (limited number of BHM at SSP, with insufficient capacity to attend the children from HIV positive mothers) and little practical (the need to move to the BHM daily) of the BHM. So, is necessary to reflect with this woman the best nutritional alternative in substitution for the maternal milk, considering: easy access, adequate preparation, best conditions for the child and for the woman; to offer for this woman the possibility to take informed and conscious decisions about herself and about her child. To not have a fall in the breastfeeding by the women in general, the indication of the artificial milk for children from HIV positive mothers should have medical prescription and individualized counseling. BHM with capacity to attend these children need to offer the pasteurized human milk to HIV positive mothers among others nutritional alternatives.

Publication Types:

• Meeting Abstracts

Keywords:

• Acquired Immunodeficiency Syndrome
• Brazil
• Breast Feeding
• Child
• Counseling
• Female
• HIV Infections
• HIV Seropositivity
• Humans
• Milk
• Milk, Human
• Mothers
• Pregnancy
• World Health Organization

Other ID:

• GWAIDS0004415

UI: 102241912

From Meeting Abstracts