Postnatal HIV transmission in breastfed infants of HIV-infected women on ART: a systematic review and meta-analysis (2017)

A systematic review of all literature to date (2017) on mother-to-child transmission in breastfed infants whose mothers received antiretroviral therapy and support the process of updating the World Health Organization infant feeding guidelines in the context of HIV and ART, which concludes that there is evidence of substantially reduced postnatal HIV transmission risk under the cover of maternal ART.

Breastfeeding with HIV: An Evidence-Based Case for New Policy (2019)

A review of the benefits and risks of breastfeeding for mothers living with HIV, and recommendations that the United States Department of Health and Human Services (DHHS) include breastfeeding as an option for with living with on suppressive antiretroviral therapy who maintain an undetectable viral load.

Women living with HIV in high-income settings and breastfeeding (2020)

A thorough review of policy guidance, science and practice in high income settings from Denmark.  It concludes that “suppressive maternal ART significantly reduces, but does not eliminate, the risk of postnatal transmission of HIV through breastfeeding. However, it is important to recognize and acknowledge that some women living with HIV may wish to breastfeed their infant, in which both the healthcare providers and the women need evidence-based information about the risks and benefits to enable an informed decision.”