Giving Baby Nutrition from Mother HIV - AIDS
Since HIV was first known in the milk, policymakers need to develop guidelines that are easy and appropriate to help with the HIV positive mother to decide if they will breastfeed their babies. Where the mother was faced with the dilemma of risk that may be encountered:
1. Risk of transmission of HIV from mother to her child through breastfeeding, or
2. Risk will morbiditas / infant mortality by as many as the ASI is not given. (Morrison, 2000)
Not be breast-fed infants when compared with breast fed infants appear to be greater risk for malnutrition and disease occurs infections that threaten the people, in addition to HIV, especially in the first year of life, and breastfeeding exclusively provide better protection. (Anonymous, 2003)
Risks associated with not breast-feed baby also depends on the environment, for example the availability of appropriate nutrition and hygiene water. The state of the mother and the family also affect the baby's risk, including economic status and education. (anonymous, 2003)
Some research indicates that the benefits from the protection of drug therapy given to decrease when the baby back in touch with HIV through breastfeeding. (Kanabus, 2006)
Many agencies or institutions that deal with HIV / AIDS, recommend to the HIV-infected mothers not to breastfeed the baby immediately after milk formula for breastfeeding available acceptable (acceptable), easy way making (feasible), cheap (affordable), it's easy to get (sustainable), and safe (safe) for the baby. (Kanabus, 2006)
However, for those who live where it is difficult to get clean water and safe, the risk for the occurrence of infection by milk formula is greater when compared with the ASI. (Kanabus, 2006)
With the HIV positive mother should first search for information or consultation about the choice of drink to the baby. If you want the mother to breastfeed the baby, it will be at risk to transmit HIV infection to the baby, while giving milk formula may increase the risk of pain (morbiditas) and death (mortality), especially when the milk formula should not be done safely. Then, any choice of the mother is given support at the high, however because it is the choice of the mother are best for baby. (Pusponegoro, 2004)
Babies who get milk formula does not get the special vitamin-vitamin, nutrients, and protective agents found in breast milk. Price milk formula sometimes beyond the reach capability, especially in the family can not afford, even if the product milk formula is widespread and easily obtainable. In addition, many women also have deficiencies in the knowledge, get the clean water, and materials needed to prepare the milk of a safe, or they do not have much time to prepare the milk . If making milk formula is not suitable, for example, mixed with water that is clean or not too thin, then the formula is exactly milk can cause infections, malnutrition or even death. (Kanabus, 2006)
For the HIV positive mother who decided to breastfeed the baby, breastfeeding is recommended for babies aged one month in the first, and must be stopped immediately after the milk formula breastmilk substitute is available. Giving a combination of drink (drink from animal milk, milk formula, porridge made, in addition to the ASI) are not recommended as this will make the risk of occurrence of infection is higher than the provision of exclusive breastfeeding (Pusponegoro, 2004). Infection may occur due to the combination of drinks can cause damage to the epithelial layer of stomach and intestine and that the baby is easier for the HIV virus in infants breastfed for infected. Until this time there is no research that can indicate when the best time to stop the breastfeeding period and it depends on the age of the baby, the mother, and the surrounding environment. (Kanabus, 2006)
Here is an alternative in the provision of nutrition in the infant age of 6 months: (anonymous, 2003)
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