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Pediatrics General 22059021

True statement(s) regarding feeding of HIV-infected child is/are -

A
Breast feeding for 4-6 months then sta weaning
B
Breast feeding for 1 year then sta weaning
C
Exclusively top feeding
D
All
High-Yield Explanation
Ans. is 'c' i.e., Exclusively top feeding o HIV infection can be transmitted from infected mother to fetus by breast feeding (though this is the least common mode of veical transmission for HIV). o It seems reasonable for women to substitute infant formula (top feeding) for breast milk if they are known to be HIV infected or are at risk for ongoing sexual or parenteral exposure to HIV. o However, the WHO recommends that developing countries where other diseases (diarrhea, pneumonia, malnutrition) substantially contribute to a high infant moality rate, the benefit of breat feeding outweighs the risk for HIV transmission, and HIV infected women in developing countries should breast feed their infants for lst 6 months of life followed by rapid weaning. For HIV infected mother Developed countries Substitute top feeding for breast feeding Developing counteries Breast feed for 6 months followed by rapid weaning

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