A Review of Updated Guidelines on Breastfeeding with Human Immunodeficiency Virus Using Relational Decision-Making and Intellectual Humility to Support Infant Feeding Choices

Emily A Barr; Lisa L Abuogi; Christiana Smith

doi:10.1016/j.cnur.2023.12.004

A Review of Updated Guidelines on Breastfeeding with Human Immunodeficiency Virus Using Relational Decision-Making and Intellectual Humility to Support Infant Feeding Choices

Nurs Clin North Am. 2024 Jun;59(2):309-327. doi: 10.1016/j.cnur.2023.12.004. Epub 2024 Mar 15.

Authors

Emily A Barr¹, Lisa L Abuogi², Christiana Smith²

Affiliations

¹ University of Texas Health Science Center at Houston, Cizik School of Nursing, 6901 Bertner Avenue, SON 5th Floor, Houston, TX 77030, USA. Electronic address: [email protected].
² Department of Pediatrics, University of Colorado School of Medicine, 13123 East 16th Avenue, Box 055, Aurora, CO 80045, USA.

PMID: 38670697
DOI: 10.1016/j.cnur.2023.12.004

Abstract

This article summarizes the updated guidelines on breastfeeding with HIV with an emphasis on using relational decision-making and intellectual humility to support the conversation around infant feeding choices. The complex cultural experiences and historical disparities that influence these decisions are highlighted, along with an overview of the recent changes to recommendations for breastfeeding in people with HIV. The article describes individualized clinical scenarios that consider infant feeding decisions, outlines communication and support strategies for health care providers, and proposes a relational decision-making model to guide discussions on infant feeding options.

Keywords: Breastfeeding with HIV; Intellectual humility; Patient–provider trust; Perinatal HIV; Relational decision-making.

Publication types

Review

MeSH terms

Breast Feeding* / psychology
Decision Making*
Female
HIV Infections* / psychology
Humans
Infant
Infant, Newborn
Infectious Disease Transmission, Vertical* / prevention & control
Practice Guidelines as Topic