{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:41:01Z","timestamp":1792701661803,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Antiretroviral therapy (ART) is integral to HIV prevention, including averting vertical transmission. The World Health Organization (WHO) recommends ART and breastfeeding for all women living with HIV for at least 12\u2009months post\u2010partum [1, 2]. Much of the data on HIV transmission through breastfeeding comes from low\u2010resource settings, with a paucity of data on breastfeeding\u2010related HIV transmission in women living with HIV in other settings. Women Against Viruses in Europe (WAVE), part of the European AIDS Clinical Society (EACS), aims to improve the standard of care for women living with HIV and sought to gain an understanding of breastfeeding guidelines and practice in women living with HIV across Europe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A steering group convened by WAVE developed a survey to collate information on breastfeeding trends, practice, and guideline recommendations for women living with HIV in Europe and to establish interest in becoming involved in a collaborative breastfeeding network. The survey was disseminated to 31 countries in March 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 25 eligible responses were received: 23\/25 (92%) countries have HIV and pregnancy guidelines; 23\/23 (100%) guidelines refer specifically to breastfeeding; 12\/23 (52%) recommend against breastfeeding; 11\/23 (48%) offer an option if certain criteria are met; 12\/25 (48%) reported that the number of women living with HIV who breastfeed is increasing; 24\/25 (96%) respondents were interested in joining a network on breastfeeding in women living with HIV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Recommendations vary, and nearly half of the guidelines recommend against breastfeeding. Many countries report an increase in breastfeeding. WAVE will establish a collaborative network to bridge data gaps, conduct research, and improve support for women living with HIV who choose to breastfeed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13583","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T06:18:50Z","timestamp":1701325130000},"page":"391-397","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Guidelines and practice of breastfeeding in women living with <scp>HIV<\/scp>\u2014Results from the European <scp>INSURE<\/scp> survey"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2046-9570","authenticated-orcid":false,"given":"A.","family":"Keane","sequence":"first","affiliation":[{"name":"Department of Infectious Disease and Genitourinary Medicine St James Hospital Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Lyons","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease and Genitourinary Medicine St James Hospital Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Aebi\u2010Popp","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, University Hospital Bern University of Bern  Switzerland Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Feiterna\u2010Sperling","sequence":"additional","affiliation":[{"name":"Charit\u00e9 Universit\u00e4tsmedizin Berlin, Klinik f\u00fcr P\u00e4diatrie m. S. Pneumologie Immunologie und Intensivmedizin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Lyall","sequence":"additional","affiliation":[{"name":"Department of Paediatric Infectious Diseases Imperial College Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Mart\u00ednez Hoffart","sequence":"additional","affiliation":[{"name":"Posithiva Gruppen, Knowledge Network for Women Living with HIV  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Scherpbier","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Amsterdam University Medical Centre  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0389-1956","authenticated-orcid":false,"given":"C.","family":"Thorne","sequence":"additional","affiliation":[{"name":"University College London Great Ormond Street Institute of Child Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Albayrak Ucak","sequence":"additional","affiliation":[{"name":"CPL Life Science, Vaccine Research and Development  Reading UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Haberl","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Infectious Diseases, HIVCENTER University Hospital Frankfurt, Goethe University  Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"WHO. Consolidated Guideline on Sexual and Reproductive Health and Rights of Women Living with HIV. WHO;2017."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042560-199504120-00011"},{"key":"e_1_2_8_4_1","unstructured":"WHO.HIV Transmission Through Breastfeeding; A review of available evidence. 2007 Update. Geneva.2008."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.9.1175"},{"key":"e_1_2_8_6_1","unstructured":"The Integrated Screening Outcomes Surveillance Service.ISOSS HIV Report 2022. GOV.UK2022. Available from: NHS Infectious Diseases in Pregnancy Screening Programme Integrated Screening Outcomes Surveillance Service HIV report 2022."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007858"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.20.1.21251"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001612"},{"key":"e_1_2_8_10_1","unstructured":"Guideline: Updates on HIV and Infant Feeding: The Duration of Breastfeeding and Support from Health Services to Improve Feeding Practices Among Mothers Living with HIV.2016."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2020.0223"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956462421999951"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/20499361211057970"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12792"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.17816\/KMJ2021-176"},{"key":"e_1_2_8_16_1","first-page":"10","article-title":"Mother\u2010to\u2010child HIV transmission during breastfeeding","author":"Kozyrina NV","year":"2015","journal-title":"Epidemiol Infect Dis"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30418-0"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-med-110918-034551"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(22)00173-4"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002744"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw587"},{"key":"e_1_2_8_22_1","unstructured":"Nuffiled Department of Primary Care Health Science.NOURISH\u2010UK. 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