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Sixty-six mothers (33%) opted for replacement feeds.
Study the growth of children fed on traditional replacement feeds and come up with the nutrient profiles.
The HIV-infected mothers were recommended to either exclusively breastfeed for 6 months instead of 3 months or give replacement feeds if affordable, feasible, acceptable sustainable and safe.
'I'm sorry, I can't (give replacement feeds) because the man will know (my HIV status), and he will send me away and will not even buy milk for this child.
However, HIV-positive women who knew their status before this pregnancy were more likely to breastfeed their babies and less likely to give replacement feeds than women who discovered they were HIV-positive during their pregnancy.
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In Britain, where sterile water and bottles are available, "safe replacement feeding" is recommended.
Maternal infant feeding choice was supported, and replacement feeding from birth, or from breastfeeding cessation until 9 months of age, was provided free of charge.
EBF is unlike replacement feeding where reduction of HIV transmission has to be carefully balanced against increased mortality due to other infections.
If she is HIV positive, she should consider replacement feeding.
The rate of replacement feeding increased with age.
Nine of these 10 (90%) mothers continued with exclusive replacement feeding.
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