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Experiencia de lactancia materna en mujeres que viven con el VIH: una síntesis global de evidencia cualitativa

Yunefit Ulfa^1,2,3,4,5,6, Shigeko Horiuchi^1,2,3,4,5,6, Eri Shishido^1,2,3,4,5,6

¹Yunefit Ulfa, M.Mid, PhD, is a Researcher, National Research and Innovation Agency, Jakarta, Indonesia, and is a Specially Appointed Researcher, Graduate School of Nursing Science, St. Luke's International University, Tokyo, Japan.

The Journal of the Association of Nurses in AIDS Care : JANAC

|December 17, 2025

Abstract:

Infant feeding decisions among women living with HIV (WLHIV) represent a complex intersection of public health guidance, personal values, and lived experiences. Although antiretroviral therapy has reduced vertical transmission risks, these decisions remain fraught with challenges. This qualitative evidence synthesis reviewed 41 studies published up to February 2025, exploring WLHIV's breastfeeding experiences through thematic analysis. Four overarching themes emerged: (a) the contradiction of stigma in breastfeeding and formula feeding, (b) breastfeeding for health benefits versus formula feeding to prevent HIV transmission, (c) breastfeeding for personal beliefs and emotional bonding, and (d) the influence of national infant feeding policies and health care systems. Findings reveal that feeding choices are deeply personal and shaped by sociocultural, structural, and emotional contexts. The review highlights the importance of women-centered care that respects women's autonomy, whereas urging health care providers to deliver consistent, empathetic, and comprehensive support to empower WLHIV in making informed decisions.

Palabras clave:

VIH lactancia materna alimentación infantil lactancia cualitativo mujeres que viven con el VIH

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