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Mothers living with HIV: replacing breastfeeding by infant formula

2019; Associação Brasileira de Enfermagem; Volume: 72; Issue: 5 Linguagem: Inglês

10.1590/0034-7167-2017-0880

1984-0446

Willyane de Andrade Alvarenga, Lucila Castanheira Nascimento, Camila Lima Leal, Márcia Regina Cangiani Fabbro, Jamile Claro de Castro Bussadori, Simone Santos e Silva Melo, Denisse Cartagena-Ramos, Giselle Dupas,

Migration, Racism, and Human Rights

To explore factors that interact and shape the meaning and experience of mothers of HIV-exposed children in relation to replacing breastfeeding by infant formula.A qualitative study was carried out with 23 mothers living with HIV, whose children were up to 18 months of age and under follow-up in a specialized care service. Symbolic Interactionism, semi-structured interviews and content analysis were adopted as theoretical framework.The social symbols of breastfeeding, the (un)availability of the milk formula and the (lack of)support of health professionals influenced the mothers' experience with formula feeding. Social, cultural and economic constraints have proved capable of undermining the conditions necessary for the replacement of breastfeeding.The availability of infant formula, access to lactation inhibitor and quality of health services still represent challenges to eradicate new HIV infections in children.