Recommendations regarding breastfeeding for the HIV-infected woman must carefully consider the risk-benefit ratiofor that particular individual.
The risk-benefit ratio for replacement feeding can varysubstantially among different settings and in many cases maybe difficult to determine.
The risks of alternative feeding methods may include thefollowing:
Impact of the cost on the health sector budget and on thefamily (higher health care costs for all instead just the fewpercent who transmit).
Loss of lactational ammenorrhea.
Stigmatization if breastfeeding is the norm.