In an HIV-positive pregnancy, what is the recommended breastfeeding approach when safe alternatives exist?

• A. Avoid breastfeeding
• B. Breastfeed exclusively
• C. Breastfeeding is not a concern
• D. Wean at 6 months

Answer: (A)

The main idea is preventing postnatal HIV transmission through feeding method. HIV can be transmitted via breast milk, so when safe alternatives exist, the best approach is to avoid breastfeeding and use formula feeding or another non-breastmilk option. This eliminates the exposure risk from milk entirely, providing the most protection for the infant. If breastfeeding continued, even with treatment, there remains a risk of transmission, which is why it isn’t favored when safe alternatives are available. Weaning at six months still leaves the infant exposed during the early months of life, so it’s not as protective as complete avoidance in this scenario.