Certified Lactation Consultant Practice Exam 2025 - Free Lactation Consultant Practice Questions and Study Guide

When a mother is infected with HIV, a critical consideration is the transmission risk of the virus to the infant through breastfeeding. The predominant recommendation in such cases is to avoid breastfeeding directly from the breast. This is due to the fact that HIV can be present in breast milk, and while the risk of transmission can vary, the safest approach in HIV-positive mothers is to prevent any potential exposure for the infant.

Feeding at the breast is not advisable because the direct exchange of fluids poses a risk, particularly in environments where access to antiretroviral therapy (ART) may be inconsistent. Instead, the emphasis is often placed on alternative feeding methods. This knowledge aligns with public health guidelines aimed at protecting infants' health while managing maternal HIV status.

In cases where expressed milk might be considered and if the mother is on effective ART, it may reduce the risk of HIV transmission through breast milk; however, direct breastfeeding is typically discouraged. Each situation should be assessed individually, taking into account the mother's health, access to healthcare, and support systems surrounding her.