The Conversation, 19/04/2017 10:04 AM AEST | Updated 20/04/2017 10:53 AM AEST
Two New South Wales teenagers’ fight to get their baby daughter back has reignited debate over teenage pregnancy, and how young is too young to care for a child.
While experts may agree that teen pregnancies are less than ideal, there is disagreement about what should happen in the case of the young couple — some saying authorities made the right decision, while others argue that Jayden and Jenifer should have been supported in caring for their daughter.
“It pains me because as a woman you have to breastfeed your baby”: decision-making about infant feeding among African women living with HIV in the UK
Sex Transm Infect 2016;92:331-336 doi:10.1136/sextrans-2015-052224
Objectives UK guidance advises HIV-positive women to abstain from breast feeding. Although this eliminates the risk of postnatal vertical transmission of HIV, the impact of replacement feeding on mothers is often overlooked. This qualitative study examines, for the first time in the UK, decision-making about infant feeding among African women living with HIV.
Methods Between 2010 and 2011, we conducted semistructured interviews with 23 HIV-positive African women who were pregnant or had recently given birth. We recruited participants from three HIV antenatal clinics in London.
Results Women highlighted the cultural importance of breast feeding in African communities and the social pressure to breast feed, also describing fears that replacement feeding would signify their HIV status. Participants had significant concerns about physical and psychological effects of replacement feeding on their child and felt their identity as good mothers was compromised by not breast feeding. However, almost all chose to refrain from breast feeding, driven by the desire to minimise vertical transmission risk. Participants’ resilience was strengthened by financial assistance with replacement feeding, examples of healthy formula-fed children and support from partners, family, peers and professionals.
Conclusions The decision to avoid breast feeding came at considerable emotional cost to participants. Professionals should be aware of the difficulties encountered by HIV-positive women in refraining from breast feeding, especially those from migrant African communities where breast feeding is culturally normative. Appropriate financial and emotional support increases women’s capacity to adhere to their infant-feeding decisions and may reduce the emotional impact.
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The benefits of male circumcision outweigh the risks, according to draft federal guidelines released by US health officials, which indicate that scientific evidence supports recommending the procedure.
The child known as the “Mississippi baby”—an infant seemingly cured of HIV that was reported as a case study of a prolonged remission of HIV infection in The New England Journal of Medicine last fall—now has detectable levels of HIV after more than two years of not taking antiretroviral therapy without evidence of virus.