title: Survey of lactation suppression in HIV-positive pregnant women.
abstract: The risk of HIV transmission via breastfeeding is well reported. We conducted a national survey in the UK to look at the current knowledge and postpartum practice of HIV physicians caring for HIV-positive pregnant women. In total, 167 questionnaires were distributed, 85 (51%) questionnaires were returned. All the respondents advised their patients against breastfeeding, 17 (23%) respondents routinely prescribed drugs for postpartum lactation suppression and 32 (43%) detailed awareness of interactions between antiretroviral therapy and dopaminergic lactation suppression agents. Thirteen respondents reported awareness of guidance on lactation suppression. The knowledge and use of lactation suppression agents appears to be low. However, its use will not only reduce postnatal mastitis and breast engorgement but will also help women deal with social pressures to breastfeed. Increased use in specific circumstances will improve the postnatal care of HIV-positive pregnant women in the UK.
authors.affiliation: Department of Genitourinary Medicine, Nottingham University Hospitals NHS Trust, Nottingham, UK. Manjula_p18@yahoo.com
authors.forename: M
authors.initials: M
authors.lastname: Pammi
authors.forename: E M
authors.initials: EM
authors.lastname: Carlin
mesh_terms: D001942:Breast Feeding / Q000706:statistics & numerical data*; D019468:Disease Management; D015259:Dopamine Agents / Q000627:therapeutic use*; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D004363:Drug Utilization / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission*; D006801:Humans; D007774:Lactation / Q000187:drug effects*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000821:virology*; D011361:Professional Competence / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D006113:United Kingdom
chemical_list: D015259:Dopamine Agents