Replies (4004)

Hi doc iam his positive with a 8 months old baby still breastfeeding and giving solids I want to know when is it safe to stop breastfeeding?and can I give him formula? The Department of Health encourages mothers to breastfeed for at least one year. I differ slightly from that advice. I encourage mothers to breastfeed and then when baby starts solids to change to No 2 formula - if they can afford formula. If they cannot afford formula then yes they should continue to breastfeed

You can change to No 2 formula. Do not forget to take baby for the HIV PCR test six weeks after stopping breastfeeding
DoctorSindi replied to mphonyana05 2 days ago
Hi doc my baby is 4 months old n on nvp, her grandmom start giving her solid food is there any chance that she could be infected, am breastfeeding Remember that mixed feeding increases the risk of HIV transmission from you to baby. We have always advised that it is either six months of exclusive breastfeeding OR exclusive formula feeding but NOT both - regardless of whether baby is on Nevirapine or not. Please rather change to exclusive formula feeding if your grandmother won't stop giving baby solids. Baby will need to go for an HIV PCR test as soon as possible after you stop all breastfeeding because of the situation where grandmother has been giving solids. You're the ONLY person to protect baby. Yes I understand that it's difficult especially when you haven't disclosed your status to the family but try by all means to protect baby. DoctorSindi replied 2 days ago
hy doc my baby is 5 months old now n im hiv+ n breastfeeding him exclusivly...i hv to go back to work what can i do 4 him not to be infected.. The best thing is for you to switch baby to No 1 formula until he is six months old. Once he turns six months then you will switch him to No 2 formula and start solids. Make sure that you take baby for the repeat HIV PCR test which is done six weeks after stopping all breastfeeding DoctorSindi replied 4 days ago
Hi doc iam hiv + wth undetectable viral load,bt startd haart wen i was pregier. ist safe if i mix wth formula since the bby is on nvp en ilvitrim suspension No. You have to choose one method of infant feeding - either exclusive breastfeeding or exclusive formula feeding. Baby can take any medication that has been given by a doctor or nurse clinician - such as Nevirapine syrup, or Ilvitrim, or Panado etc. DoctorSindi replied 4 days ago
Hi doctor
Iam 8months pregnant and HIV positive what do I do can I deliver then not breastfeed because my family does not believe in breastfeeding exclusively so iam scared that when I go back to work they will give my baby things
Yes. If you know that your family is going to interfere and want to give baby food/water/herbal medication/gripe water and so on then rather formula feed exclusively. You will need to get No 1 formula. Remember to always make sure baby's bottles are properly sterilized. Always mix the formula according to the tin instructions. NO food or anything until baby is six months old. From six months baby can start solids and No 2 formula DoctorSindi replied to Misca 7 days ago
hi,i'm hiv+ & ebf my son, he's nw 7mnths old & i jst want to knw if i can give him formula since he's on solids nw Yes. You can start him on No 2 formula and continue solids DoctorSindi replied 7 days ago
Hello Sandi my baby is 1month now, he is on exclusive breastfeeding, he has cough and catarrh, what drug can I give him Take him to the doctor or clinic please. I don't recommend self-medicating for babies DoctorSindi replied to onyichiis 7 days ago
i am somehow confused, by this point of exclusive formula no 1 after six months solid with formula no 2.i always thought formulamilkgoes with the months of the baby, isntno2for one year olds and above?confused No 1 formula is a starter formula for babies 0 - 6 months. No 2 formula has iron added to it and is given to babies 6 months to 12 months. After that baby can start fresh cow's milk or take No 3 formula which is for toddler's

Hope this helps
DoctorSindi replied to Nthabiseng100 10 days ago
Hi Dr, Im pregnant and HIV+ started Tribuss on 9weeks....I always thought that i cant breastfeed because of my status but after reading some of the post I am starting to consider it. Please will you advice me on the whole process and maybe the success rates.. Of course you can breastfeed if you are living with HIV. The most important thing is for you to breastfeed exclusively. This means that you give baby breastmilk, the Nevirapine syrup and medication from the nurse clinician or doctor. Nothing else! No water, gripe water, druppels, umuthi wenyoni, food, or anything else. When baby turns six months then baby can start solids and No 2 formula.

If you have to stop breastfeeding before baby is six months that is also fine. Baby will then start No 1 formula and then at six months change to solids and No 2 formula.

Some mothers choose to breastfeed until one year or two years.
DoctorSindi replied to Mommy1 10 days ago
Hi Doc ngithole umtana uphuza i syrup i nvp so kunembiza yesiZulu abanginike yona ukuth ayiphuze ivike angeke yini imoshe yonke into plz help angakamphuzisi bt kume ayiphuzile coz umfana unesithakathi esiningi n abazi ekhaya ukuth uphuza i nvp Ngicela angayiphuzi leyombiza yesiZulu. Baby only needs to take breastmilk, Nevirapine syrup, Cotrimoxazole suspension or any medication from the nurse or doctor DoctorSindi replied 10 days ago
Whats going to happen if I give my baby water or food before six month and am hiv positive but still breastfeeding at the same time We do NOT want babies to start solids before six months of age. Their gut lining is not ready for that and also if you are breastfeeding there is the added risk of HIV transmission from you to baby because of mixed feeding. The mixed feeding scrapes away that protective gut lining and HIV can pass across it. Please breastfeed exclusively. If you switch to formula before six months then please give formula exclusively. Once baby is six months old you can start solids DoctorSindi replied 231 days ago
Hi i just found out that my is hiv, ah just had a baby and now he is 2weeks old. He is taking nvp. My aunt is unemployed,how can i support her, is it a must to stop breastfeeding at six weeks or sh can continue as long as she is on treatment? Im soo sad. She can breastfeed for as long as possible. Please do not be sad. Support her by making sure she breastfeeds exclusively for the first six months, she makes sure that baby goes all the necessary HIV PCR tests and that baby is taking the correct syrup. Also make sure that she takes her treatment every single day and that she goes for regular check-ups. Do not be sad. HIV is not a death sentence and baby shall be just fine DoctorSindi replied 231 days ago
Hii doc ngomtwana ona 4months akakhono ukulala kuyaphela even 3days n uyakhala makmele azkhulule but agcine angakhonanga n uyatshokoza kakhulu like uyahlanza pls help me ngamuaa e clinic but angisizakalanga Please take baby back to the clinic and ask them to check baby again. I hope that you are giving baby breastmilk only OR formula only. I also hope that you are not giving baby any solids or food. That is for babies who are six months and older DoctorSindi replied to Yendes 231 days ago
Hi sindi ,m hiv+ n my baby has bn gvn some traditional herbs to drink for 3 days and her teeth has been scraped, m breastfeeding her exclusively .is she safe? I am glad that the traditional herbs were given for a short time. This is not to say that I agree with what you did though. Remember that you are the only person that can protect your baby. Yes it is hard to go against the advice of family and friends - but you know better and you have to protect baby. Let us hope for the best and that baby's next HIV PCR test shall be negative DoctorSindi replied 231 days ago
Hi doc, i gave my child a zidovudine syrup for 6 wks & at the clinic they've just stopped me without the test&they didn't give anything else to prevent transmission HIV-exposed babies take the syrup for six weeks. Then they start taking Cotrimoxazole suspension. We test babies at birth and then again at ten weeks. That is the new protocol. If baby was not tested at birth please go back to the clinic and ask them to test baby. If you did not get the Cotrimoxazole suspension, make sure that you get it DoctorSindi replied 231 days ago

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