Method of feeding and transmission of HIV-1 from mothers to children by 15 months of age: prospective cohort study from Durban, South Africa

Coutsoudis, Anna; Pillay, Kubendran; Kuhn, Louise; Spooner, Elizabeth; Tsai, Wei‐Yann; Hm, Coovadia

doi:10.1097/00002030-200102160-00011

Cited by 352 publications

(260 citation statements)

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“…It may also increase the risk of micronutrient deficiency as human milk has low concentrations of iron and zinc (Brown et al, 1998). Breastfeeding prolongs the period of exposure to the HIV virus in babies of HIV infected mothers (Miotti et al, 1999) and early introduction of complementary foods, including water, has been associated with increased morbidity from diarrhoeal disease (Popkin et al, 1990), linear growth faltering (Caulfied et al, 1996) and increased risk of mother to child HIV transmission (Coutsoudis et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Breast and complementary feeding practices in relation to morbidity and growth in Malawian infants

2005

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Objectives: The objective of this study was to compare growth, morbidity incidence and risk factors for undernutrition between infants receiving complementary feeding early, before 3 months of age, with those receiving complementary foods after 3 months in a poor rural Malawian community. Methods: A cohort of babies was enrolled at birth for follow-up to 12 months of age. Weight, length, morbidity and feeding patterns were recorded at 4 weekly intervals from birth to 52 weeks. Results: Mean age at introduction of water was 2.5 months (range 0-11.8), complementary foods 3.4 months (range, 1.0-10.7) and solids 4.5 months (range 1.2-13.8). Over 40% of infants had received complementary foods by 2 months and 65% by 3 months. The proportion of exclusively breast-fed infants, which included those receiving supplemental water, was 13% at 4 months, 6.3% at 5 months and 1.5% at 6 months. Infants with early complementary feeding had lower weight for age at 3 and 6 months (Po0.05), and at 9 months (P ¼ 0.07) and at 2 months they were approximately 200 g lighter. Early complementary feeding was significantly associated with increased risk for respiratory infection (Po0.05), and marginally increased risk for eye infection and episodes of malaria. Maternal illiteracy was associated with early complementary feeding (OR ¼ 2.1, 95% CI 1.3, 3.2), while later complementary feeding was associated with reduced infant morbidity and improved growth. Conclusion: Breast-feeding promotion programmes should target illiterate women. Greater emphasis is required to improve complementary feeding practices.

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Section: Introductionmentioning

confidence: 99%

Breast and complementary feeding practices in relation to morbidity and growth in Malawian infants

2005

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“…Substantial evidence now exists illustrating the role of exclusive breast-feeding (EBF) in minimizing transmission risk of HIV while promoting child health, resulting in greater HIV-free child survival (5)(6)(7) . Recently, an African-based prospective study with feeding data on 1276 infants found a low transmission risk (4 %) following 6 months of EBF, with mortality at 3 months more than double in formula-fed babies compared with EBF infants (8) .…”

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confidence: 99%

Mothers’ infant feeding experiences: constraints and supports for optimal feeding in an HIV-impacted urban community in South Africa

Sibeko

Coutsoudis

Nzuza

et al. 2009

Public Health Nutr.

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“…All children were fed with artificial milk [8][9][10][11]. They were weighed every month on the same date (the 15 th of the month) throughout their stay.…”

Section: Methodsmentioning

confidence: 99%

Abandoned Children Admitted to the Nursery of Lome (Togo): Place of HIV/AIDS Infection

Guedehoussou¹,

Azoumah²,

Djadou³

et al. 2017

Pediatric Infect Dis

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The authors conducted a case-control study of 102 children with positive HIV serology out of 956 received and screened at admission at Sainte Claire Nursery (SCN) in Lomé from 1 st January 2000 to 31 st December 2014 with the aim of to determine the social profile, the weight evolution and the fate of these children admitted in a difficult situation.The characteristics of this study are as follows: the seroprevalence rate was 10.7%; nearly three out of four children with positive serology (76.5%) on admission had been abandoned and admitted later than those with negative serology (79% vs. 57%); orphans accounted for only 17% and 5% were children of mothers who had a psychiatric illness. Among HIV-positive children followed up to 18 months (73.5%), their serology was negative between 7 and 14 months. Nineteen (19) remained HIV positive at 18 months were HIV positive. All children with negative serology and abandoned on admission were adopted before the age of 1 year against 25% of children with positive serology. Three-quarters (75%) of adoptions in the group of HIV positive children at admission and abandoned were done in Togo vs. 40% of children with negative serology. Children with positive serology arrived late at the SCN and significantly beyond one month (43% vs. 21%, p<0.001) and they were more often abandoned. This assumes that HIV status may be one of the reasons for the abandonment of these children by parents.Until there is sufficient evidence of the place of HIV in child abandonment, HIV/AIDS awareness campaigns should take into account data from this study especially in countries with high prevalence of HIV/AIDS.

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Method of feeding and transmission of HIV-1 from mothers to children by 15 months of age: prospective cohort study from Durban, South Africa

Abstract: Infants exclusively breastfed for 3 months or more had no excess risk of HIV infection over 6 months than those never breastfed. These findings, if confirmed elsewhere, can influence public health policies on feeding choices available to HIV-infected mothers in developing countries.

Cited by 352 publications

References 20 publications

Breast and complementary feeding practices in relation to morbidity and growth in Malawian infants

Breast and complementary feeding practices in relation to morbidity and growth in Malawian infants

Mothers’ infant feeding experiences: constraints and supports for optimal feeding in an HIV-impacted urban community in South Africa

Abandoned Children Admitted to the Nursery of Lome (Togo): Place of HIV/AIDS Infection

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