{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:41:04Z","timestamp":1792701664883,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T00:00:00Z","timestamp":1756080000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A notable gap exists in research on HIV and breastfeeding in high\u2010income settings with continuous access to antiretroviral therapy (ART) and suppressed HIV viral loads. The Women Against Viruses in Europe (WAVE) initiative aimed to consolidate European guidelines on HIV and breastfeeding to better inform medical staff and people living with HIV in the decision\u2010making process for breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Representatives from 23 countries were contacted by WAVE to submit their guidelines on HIV and breastfeeding, translated into English. The initial contact was made on 20 April 2023, and the final response was received on 26 May 2023. The WAVE breastfeeding group summarized the guidelines into key topics related to breastfeeding for the purpose of this manuscript.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 19 guidelines from 20 countries were included in the review. While the majority of countries recommend formula feeding as the preferred feeding for infants born to mothers living with HIV, most provide recommendations to support parents who choose to breastfeed if certain criteria are met.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite recommendations being based on the same research, there is variation across guidelines. This review consolidates European guidelines, enabling us to learn from each other and pool our experiences to create a robust cohort for further research and guideline development for parents living with HIV and their infants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70072","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T12:33:12Z","timestamp":1756125192000},"page":"1515-1524","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["European Guidelines on HIV and breastfeeding: \u201cSame, same, but different\u201d \u2010 Results from a WAVE survey"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2046-9570","authenticated-orcid":false,"given":"Amy","family":"Keane","sequence":"first","affiliation":[{"name":"The Department of Genitourinary Medicine and Infectious Disease St James Hospital Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1286-3765","authenticated-orcid":false,"given":"Lila","family":"Haberl","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology and Infectious Diseases, D\u00fcsseldorf University Hospital and Medical Faculty Heinrich Heine University  D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0281-8485","authenticated-orcid":false,"given":"Inka","family":"Aho","sequence":"additional","affiliation":[{"name":"Specialist in Infectious Diseases and Internal Medicine Helsinki University Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5672-0881","authenticated-orcid":false,"given":"Stefania","family":"Bernardi","sequence":"additional","affiliation":[{"name":"Paediatric infectious disease specialist, Head of Infectious Disease Simple Unit, \u201cBambino Gesu\u201d Children's Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"M\u0103rd\u0103rescu","sequence":"additional","affiliation":[{"name":"Consultant in Infectious Diseases, Coordinator of Compartment for Monitoring and Evaluation of HIV\/AIDS Data in Romania in National Institute for Infectious Diseases \u201cProf. Dr. Matei Bals\u201d, National HIV Focal Point\u2010 ECDC Stockholm"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Hermine","family":"Markowich","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Infectious Disease Unit, L. Sacco Hospital University of Milan  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelina","family":"Namiba","sequence":"additional","affiliation":[{"name":"4M Network of Mentor Mothers  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nneka","family":"Nwokolo","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital and ViiV Healthcare  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keren","family":"Olshtain\u2010Pops","sequence":"additional","affiliation":[{"name":"Hadassah University Medical Center  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1916-7981","authenticated-orcid":false,"given":"Annette","family":"Haberl","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Infectious Diseases, University Hospital Frankfurt Goethe University  Frankfurt am Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"WAVE (Women Against Viruses in Europe), European AIDS Clinical Society","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12986"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007858"},{"key":"e_1_2_10_4_1","unstructured":"NHS.Integrated Screening Outcomes Surveillance Services. HIV Report 2022. GOV.UK2022.2023."},{"key":"e_1_2_10_5_1","unstructured":"Consolidated guideline on sexual and reproductive health and rights of women living with HIV.2017."},{"key":"e_1_2_10_6_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_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkac337"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001612"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12792"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(22)00173-4"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002744"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2020.0223"},{"key":"e_1_2_10_13_1","unstructured":"UNAIDS.20.2 million girls and women living with HIV 2022.https:\/\/www.unaids.org\/en\/resources\/infographics\/girls\u2010and\u2010women\u2010living\u2010with\u2010HIV."},{"key":"e_1_2_10_14_1","unstructured":"WHO.Mother \u2013 to \u2013 Child Transmission of HIV 2023.https:\/\/www.who.int\/teams\/global-hiv-hepatitis-and-stis-programmes\/hiv\/prevention\/mother-to-child-transmission-of-hiv."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13583"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0000000000000986"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31829f05ac"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732317725219"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200011100-00016"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200302140-00015"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13723"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2014.9984"},{"key":"e_1_2_10_23_1","unstructured":"BHIVA.Interim BHIVA position statement on HIV and mixed infant feeding interim BHIVA position statement on HIV and mixed infant feeding.2024."},{"key":"e_1_2_10_24_1","unstructured":"WHO.HIV\/AIDs: Infant feeding and nutrition 2021.https:\/\/www.who.int\/news\u2010room\/questions\u2010and\u2010answers\/item\/hiv\u2010aids\u2010infant\u2010feeding\u2010and\u2010nutrition."},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.20.1.21251"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0007397"},{"key":"e_1_2_10_27_1","unstructured":"4M Mentor Mothers Network.My health My choice My child My life.2024.https:\/\/4mmm.org\/."},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000003314"},{"key":"e_1_2_10_29_1","unstructured":"Nuffield Department of Primary Care Health Sciences.NOURISH\u2010UK.https:\/\/www.phc.ox.ac.uk\/research\/groups-and-centres\/health_experiences\/Nourish_UK"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.70072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hiv.70072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.70072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T05:25:43Z","timestamp":1774329943000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.70072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,25]]},"references-count":28,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/hiv.70072"],"URL":"https:\/\/doi.org\/10.1111\/hiv.70072","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,25]]},"assertion":[{"value":"2025-03-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}