ArticleOpen forum infectious diseases2025
Adoption of the Revised DHHS Guidelines on Breastmilk Feeding and HIV in the United States: Clinical Practices and Barriers.
Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Breastfeeding practices and perspectives in the setting of maternal HIV in high-income countries since the shift in the United States national guidelines: a scoping review.Frontiers in reproductive health · 2026Review
- Unlearning prohibition: the de-implementation of HIV breastfeeding restrictions in the United States.Frontiers in reproductive health · 2026Article
- Understanding practices of lactation and infant feeding together with women with HIV: the UPLIFT observational study protocol.Frontiers in reproductive health · 2026Article
- Evaluating infant feeding practice guidelines for individuals with HIV: a pilot study using qualitative findings with healthcare workers and normalization process theory.Frontiers in reproductive health · 2026Article
- Breastfeeding with HIV: faculty and trainee clinical experience with updated 2023 HHS guidelines.Frontiers in reproductive health · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Understanding current clinical practices and barriers to the implementation of the updated infant feeding guidelines in perinatal HIV exposure can inform the development of interventions to improve practice in the United States (US). Methods: Between August and December 2024, we electronically administered a survey to actively practicing neonatologists and pediatric infectious diseases (PID) physicians in the US. We conducted a multivariate logistic regression to assess the association between physician characteristics and breastfeeding support. Results: Of 389 respondents, 21% were PID specialists, and 79% were neonatologists. More PID specialists (64%) than neonatologists (42%) ( Conclusions: In the United States, concerns for perinatal HIV transmission remain a significant barrier to breastfeeding support among both PID subspecialists and neonatologists. Accordingly, interventions to promote breastfeeding support should target persisting concerns for lactational HIV transmission.
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