Moving closer to what women want? A review of breastfeeding and women living with <scp>HIV</scp> in the <scp>UK</scp> and high‐income countries

Freeman-Romilly, Nell; Nyatsanza, Farai; Namiba, Angelina; Lyall, Hermione

doi:10.1111/hiv.12792

Cited by 16 publications

(7 citation statements)

References 31 publications

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“…European [ 1 ] and US [ 2 ] guidelines recommend against breastfeeding because of the potential risk of mother-to-child transmission (MTCT). Nevertheless, an increasing number of HIV-infected mothers is breastfeeding their newborns [ 3 ], and it is an ongoing debate if the cultural, psychological and social importance of breastfeeding outweighs the MTCT risk in some circumstances [ 4 – 8 ]. Adequate antiretroviral therapy is of particular importance in these women to prevent transmission, but it is widely unknown, which antiretroviral drugs (ARVs) are preferable for these women [ 5 ].…”

mentioning

confidence: 99%

Low raltegravir transfer into the breastmilk of a woman living with HIV

Feiterna‐Sperling

Bukkems²,

Teulen³

2020

Aids

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mentioning

confidence: 99%

Low raltegravir transfer into the breastmilk of a woman living with HIV

Feiterna‐Sperling

Bukkems²,

Teulen³

2020

Aids

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“…Healthcare providers should acknowledge the many ways in which the women experience and cope with their infant feeding choices. 48 Breastfeeding avoidance not only affects feelings of "missing out" and thoughts about limited bonding with the baby, it may also enhance strategies such as limiting social contact in the early postpartum period, especially among women of non-Nordic origin. This approach may exacerbate feelings of loneliness and increase risk of postpartum depression.…”

Section: Discussionmentioning

confidence: 99%

Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting: A Longitudinal Mixed Methods Study

Moseholm,

Fetters,

Aho

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: The recommendation of breastfeeding avoidance for women living with HIV in high-income settings may be influenced by cultural beliefs and come at an emotional cost. This multi-center, longitudinal, convergent mixed methods study aimed to compare differences in attitudes, concerns and experiences surrounding breastfeeding in women living with HIV of Nordic and non-Nordic origin. Setting: High-income setting Methods: Pregnant women living with HIV in the Nordic countries Denmark, Finland, and Sweden were recruited in 2019–2020. Quantitative data on attitudes surrounding infant feeding was assessed using the Positive Attitudes Concerning Infant Feeding (PACIFY) questionnaire completed in the third trimester (T1), and 3 (T2) and 6 (T3) months postpartum. Women who completed the survey were also invited to participate in semi-structured interviews at T1 and T3. Findings from the quantitative survey and qualitative interviews were brought together through merging to assess for concordance, complementarity, expansion, or discordance between the datasets, and to draw meta-inferences. Results: In total, 44 women completed the survey, of whom 31 also participated in qualitative interviews. The merged analyses identified three overarching domains representing commonalities across the quantitative and qualitative data: emotional impact, justifying not breastfeeding, and coping strategies. Not being able to breastfeed was emotionally challenging. Cultural expectations influenced the women’s experiences and the strategies they used to justify their infant feeding choice. Conclusion: For women living with HIV in Nordic countries not breastfeeding was a complex, multi-layered process substantially influenced by social and cultural expectations.

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“…Previous research applying relational harm reduction principles (e.g., those focusing on patient-provider relationships) to the provision of healthcare has primarily focused on substance use or overdose prevention programs (Dion et al 2020;National Academies of Sciences EaM 2020;Hood et al 2020;Bach and Hartung 2019;Han 2018;Elliott et al 2019). These principles are increasingly being applied to other health topics including eating disorders (Bianchi et al 2020), mental health care (Miranda and Amaral 2021), palliative psychiatric care (Strand et al 2020), diabetes self-management (Bockwoldt 2020), occupational therapy (Shea et al 2019), hypertension management (Culturally 2020), and breastfeeding support programs for women living with HIV (Freeman-Romilly et al 2020). Research specific to health services for people who are homeless often focuses on care that is based in emergency departments (Ciaranello et al 2006;O'Toole et al 2015;Hewett et al 2016) or delivered via mobile medical units (Arpiainen and Lilius 2020), without exploring the relational aspects of care as done in this study.…”

Section: Discussionmentioning

confidence: 99%

Harm Reduction Principles in a Street Medicine Program: A Qualitative Study

Frankeberger

Gagnon

Withers

et al. 2022

Cult Med Psychiatry

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There is ample evidence that homelessness is associated with high rates of morbidity and mortality. Street Medicine seeks to eliminate these disparities by providing healthcare on the streets to people who are unsheltered. While extant research describes health disparities for the unsheltered and programmatic approaches to addressing housing instability, there are few published studies describing how healthcare providers build and maintain relationships with patients on the street. This insight is central to specifying how street medicine differs from traditional forms of care and defining aspects of street medicine that contribute to successful patient engagement. Through a collaboration between Operation Safety Net (OSN), a street medicine provider in Pittsburgh, Pennsylvania, and [name redacted], an exploratory qualitative study was designed and implemented using harm reduction principles as a guiding framework. Qualitative interviews were conducted with eleven OSN street medicine providers and a thematic analysis using a deductive approach was used to analyze the data. Findings identified the ways that relational harm reduction was central to all aspects of patient care provided through this program. Major themes included: (1) individualism, or meeting patients where they are figuratively and literally; (2) humanism, which refers to valuing and holding true regard for patients; and (3) nonjudgmental care, in which providers do not hold negative attitudes toward patients and their decisions. These themes are consistent with relational principles of harm reduction. Challenges that were discussed also aligned with these principles and included frustration with systems providing care that did not meet patients' individualized needs, and pain and trauma experienced by providers upon losing patients for whom they genuinely cared. Understanding these

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Moving closer to what women want? A review of breastfeeding and women living with HIV in the UK and high‐income countries

Cited by 16 publications

References 31 publications

Low raltegravir transfer into the breastmilk of a woman living with HIV

Low raltegravir transfer into the breastmilk of a woman living with HIV

Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting: A Longitudinal Mixed Methods Study

Harm Reduction Principles in a Street Medicine Program: A Qualitative Study

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