5 Key Takeaways

• 1

  The American Academy of Pediatrics updated guidelines on breastfeeding and HIV emphasize the risk of transmission through breastfeeding.

• 2

  To eliminate postnatal HIV transmission risk, the AAP recommends formula feeding or certified, banked donor human milk.

• 3

  For individuals on ART with sustained viral suppression under 50 copies per mL, a nonjudgmental, harm-reduction approach is encouraged.

• 4

  Frequent communication and monitoring are essential for breastfeeding parents with HIV to ensure safer breastfeeding practices.

• 5

  Exclusive breastfeeding for the first 6 months is advised if chosen, along with continuous ART and infant ARV prophylaxis.