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Contraception After Pregnancy
Introduction Contents Post-Test References Go To Presenter Info

Goals

Section 1
Section 2

- Introduction
- Objectives
- Breastfeeding
> HIV-Positive
- Options
- Nonhormonal
- Activity
- LAM
- Barrier
- Copper IUDs
- Expulsion
- Removal
- Abstinence
- Withdrawal
- Sterilization
- Sterilization
- Activity
- Hormonal
- Progestin-Only
- Combined
- Activity
- Initiation
- Initiation

Section 3

Conclusion

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Section 2 - Contraceptive Options after Childbirth

Breastfeeding When the Mother is HIV-Positive

  • Average risk of acquiring HIV through breastmilk is at least 16%

  • According to WHO:

    • risk can be eliminated if a safe, ongoing and clean alternative method of bottlefeeding is available
    • risk may be reduced if breastfeeding is limited to the first 6 months

Providers can help these mothers decide whether the risks of breastfeeding outweigh the proven benefits

Source: Nduati R., 2000.
Slide 19


Special consideration must be given to the decision to breastfeed if a mother is HIV-positive, since the virus may pass to the infant during breastfeeding in some cases. The average risk of acquiring HIV infection through breastmilk is at least 16 percent.

According to WHO, an HIV-positive mother can eliminate the risk of HIV transmission through breastmilk by using infant formula, modified animal milks or boiled expressed breastmilk. However, she must have access to a sufficient, ongoing and clean supply of this alternative form of milk. If there is no safe alternative form of milk, an HIV-positive mother should only give her infant breastmilk. She should not mix breastfeeding with use of other foods or milk replacements that are not safe. According to WHO, limiting breastfeeding to the first six months may also reduce the risk of HIV transmission. Health-care providers should counsel HIV-positive mothers and help them decide whether the risks of breastfeeding outweigh the proven benefits.

 

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