Replies (4008)

hi Dr I'm HIV positive and breastfeeding. my daughter is turning 6 months next month on the 3rd of November so I was ted to know should I stop breastfeeding her on the 3rd and on the 4rth should I introduce her to formula n solids? Yes that is correct. I encourage mothers to stop breastfeeding abruptly and then wean baby onto solids and No 2 formula DoctorSindi replied to Pearl01 147 days ago
Hi doc.i am a breastfeeding mother.i hv been giving my baby Adco-lamivudine now i have been given a Doctrim suspension from the clinic nd my baby is 10 weeks.should i give it to my child Yes. Remember that babies take the syrup for six weeks and then thereafter they start taking Doctrim/Ilvitrim/Bactrim suspension. Give it once a day DoctorSindi replied 147 days ago
Hi Doc, I had a Csection and bled profusely had to have 2units of blood transfusion after surgery. vl was 40ml baby is taking viramune 2ml 1x a day. Only going for baby test in 2 weeks time. The worry and anxiety is killing me. Please do not worry. The most important thing is that you are on treatment and that your viral load is low. The lower the viral load, the smaller the risk of HIV transmission to baby. If you are breastfeeding make sure baby is exclusively breastfeeding. Do not worry! DoctorSindi replied 147 days ago
hy doc my child was born on 20 may 2
016 and i am breastfeeding him and im + and on arvs when is the right date to switch to solids.... must be 20 november when he turns 6 months?
Yes that is correct. You will be starting solids and also No 2 formula if you can afford formula

Do not forget to take baby for a repeat HIV PCR test six weeks after you stop all breastfeeding.
DoctorSindi replied 147 days ago
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 152 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 153 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 154 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 154 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 157 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 157 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 157 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 160 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 160 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 160 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 381 days ago

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