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Factors affecting breastfeeding cessation after discontinuation of antiretroviral therapy to prevent mother-to-child transmission of HIV.
AIDS Care 2010; 22(7):866-73AC

Abstract

In the Kisumu Breastfeeding Study (KiBS), prevention of mother-to-child HIV transmission study, highly active antiretroviral therapy (HAART) is provided from 34 weeks gestation, through delivery to six months postpartum. The study recommends that women practice exclusive breastfeeding for six months, then wean abruptly. We sought to explore factors such as, education, family support, cultural norms, and sources of information about perinatal HIV transmission, which may influence a mother's decision to comply or not comply with the study's recommendation to stop breastfeeding when HAART is discontinued. We used semi-structured interviews of a purposive sample of 18 mothers participating in the KiBS. By interviewing 10 mothers who stopped breastfeeding and eight mothers who continued, it was possible to examine how different factors may have affected the groups of participants. All participants stated that it was not traditional to stop breastfeeding at six months. Participants who stopped breastfeeding reported more family support, were more educated, and were more likely to disclose their HIV status. Participants who continued breastfeeding more often expressed concern about stigma. Participants learned about mother-to-child transmission from clinics, churches, community groups, and other HIV-positive mothers. This substudy suggests that family support, education, and cultural norms are important factors that may influence a mother's decision regarding breastfeeding cessation. Thus, counseling and family support may play integral roles in the promotion of early breastfeeding cessation.

Authors+Show Affiliations

Department of Public Health, University of Oxford, Oxford, UK. melissa.c.morgan@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20635251

Citation

Morgan, Melissa C., et al. "Factors Affecting Breastfeeding Cessation After Discontinuation of Antiretroviral Therapy to Prevent Mother-to-child Transmission of HIV." AIDS Care, vol. 22, no. 7, 2010, pp. 866-73.
Morgan MC, Masaba RO, Nyikuri M, et al. Factors affecting breastfeeding cessation after discontinuation of antiretroviral therapy to prevent mother-to-child transmission of HIV. AIDS Care. 2010;22(7):866-73.
Morgan, M. C., Masaba, R. O., Nyikuri, M., & Thomas, T. K. (2010). Factors affecting breastfeeding cessation after discontinuation of antiretroviral therapy to prevent mother-to-child transmission of HIV. AIDS Care, 22(7), pp. 866-73. doi:10.1080/09540120903483000.
Morgan MC, et al. Factors Affecting Breastfeeding Cessation After Discontinuation of Antiretroviral Therapy to Prevent Mother-to-child Transmission of HIV. AIDS Care. 2010;22(7):866-73. PubMed PMID: 20635251.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors affecting breastfeeding cessation after discontinuation of antiretroviral therapy to prevent mother-to-child transmission of HIV. AU - Morgan,Melissa C, AU - Masaba,Rose O, AU - Nyikuri,Mary, AU - Thomas,Timothy K, PY - 2010/7/17/entrez PY - 2010/7/17/pubmed PY - 2011/6/9/medline SP - 866 EP - 73 JF - AIDS care JO - AIDS Care VL - 22 IS - 7 N2 - In the Kisumu Breastfeeding Study (KiBS), prevention of mother-to-child HIV transmission study, highly active antiretroviral therapy (HAART) is provided from 34 weeks gestation, through delivery to six months postpartum. The study recommends that women practice exclusive breastfeeding for six months, then wean abruptly. We sought to explore factors such as, education, family support, cultural norms, and sources of information about perinatal HIV transmission, which may influence a mother's decision to comply or not comply with the study's recommendation to stop breastfeeding when HAART is discontinued. We used semi-structured interviews of a purposive sample of 18 mothers participating in the KiBS. By interviewing 10 mothers who stopped breastfeeding and eight mothers who continued, it was possible to examine how different factors may have affected the groups of participants. All participants stated that it was not traditional to stop breastfeeding at six months. Participants who stopped breastfeeding reported more family support, were more educated, and were more likely to disclose their HIV status. Participants who continued breastfeeding more often expressed concern about stigma. Participants learned about mother-to-child transmission from clinics, churches, community groups, and other HIV-positive mothers. This substudy suggests that family support, education, and cultural norms are important factors that may influence a mother's decision regarding breastfeeding cessation. Thus, counseling and family support may play integral roles in the promotion of early breastfeeding cessation. SN - 1360-0451 UR - https://www.unboundmedicine.com/medline/citation/20635251/Factors_affecting_breastfeeding_cessation_after_discontinuation_of_antiretroviral_therapy_to_prevent_mother_to_child_transmission_of_HIV_ L2 - http://www.tandfonline.com/doi/full/10.1080/09540120903483000 DB - PRIME DP - Unbound Medicine ER -