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Research Article

High Uptake of Exclusive Breastfeeding and Reduced Early Post-Natal HIV Transmission

  • Louise Kuhn mail,

    To whom correspondence should be addressed. E-mail: lk24@columbia.edu

    Affiliation: Gertrude H. Sergievsky Center, and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, United States of America

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  • Moses Sinkala,

    Affiliation: Lusaka District Health Management Team, Lusaka, Zambia

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  • Chipepo Kankasa,

    Affiliation: University Teaching Hospital, University of Zambia, Lusaka, Zambia

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  • Katherine Semrau,

    Affiliation: Center for International Health & Development, Boston University School of Public Health, Boston, Massachusetts, United States of America

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  • Prisca Kasonde,

    Affiliation: University Teaching Hospital, University of Zambia, Lusaka, Zambia

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  • Nancy Scott,

    Affiliation: Center for International Health & Development, Boston University School of Public Health, Boston, Massachusetts, United States of America

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  • Mwiya Mwiya,

    Affiliation: University Teaching Hospital, University of Zambia, Lusaka, Zambia

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  • Cheswa Vwalika,

    Affiliation: Lusaka District Health Management Team, Lusaka, Zambia

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  • Jan Walter,

    Affiliation: Gertrude H. Sergievsky Center, and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, United States of America

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  • Wei-Yann Tsai,

    Affiliation: Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York, United States of America

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  • Grace M. Aldrovandi,

    Affiliation: Department of Pediatrics, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California, United States of America

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  • Donald M. Thea

    Affiliation: Center for International Health & Development, Boston University School of Public Health, Boston, Massachusetts, United States of America

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  • Published: December 26, 2007
  • DOI: 10.1371/journal.pone.0001363

Reader Comments (3)

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Preventing HIV infection by preventing not wanted pregnancies

Posted by verkuyl on 04 Jan 2008 at 19:23 GMT

"The net result is that benefits of reducing postnatal HIV transmission through early cessation of breastfeeding are too small to offset the high competing risks of mortality attributable to the absence of breast milk in the diet of an infant between 4 and 24 months" I would like to add as benefit that the contraceptive effect of breastfeeding will be sustained longer preventing a number of possible unwelcome pregnancies with an increasing chance of resulting in an infected baby as the HIV infection progresses in the mother.
Do the authors have any data on pregnancies and length of breastfeeding in this study?

D.A.A. Verkuyl, Gynaecologist
The Netherlands