Breastfeeding in Mother to Child Transmission in HIV Patient in West Java

Anggraini Alam; Riyadi Riyadi; Filla Reviyani Suryaningrat; Yanti Siauta; Yelliantty Yelliantty

doi:doi:10.11648/j.ajp.20160204.11

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Breastfeeding in Mother to Child Transmission in HIV Patient in West Java

Anggraini Alam, Riyadi Riyadi, Filla Reviyani Suryaningrat, Yanti Siauta, Yelliantty Yelliantty

Published in American Journal of Pediatrics (Volume 2, Issue 4)

Received: 1 July 2016 Accepted: 5 November 2016 Published: 10 December 2016

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Abstract

Estimates and projections of children living with HIV, the number of new HIV infections and AIDS-related deaths show an increasing trend every year. The number of children living with HIV is projected increase from 20,181 in 2014 to 31,146 in 2019, and the projected number of new infections in this age will increase from 4,653 in 2014 to 5,309 in 2019. On the other hand, the estimated number and projections of AIDS-associated deaths in children will change from 2,107 in 2014 to 2,950 in 2019. The objective of this study is to identify one of risk factor in HIV transmission from mother to child, which is breastfeeding and enrich the knowledge related to risk factors of HIV transmission from mother to child, so that the transmission rate can be reduce. This study was a case-control design conducted in the Hasan Sadikin General Hospital, Bandung. From 2002 until 2010. Subjects were all children, from 6-14 years old which are carried out the HIV test. Two groups were observed. First group were children with HIV positive and control group were HIV negative children with HIV positive mother. Data on breastfeeding history was obtained from interviews with family. The whole pregnant and lactating women have not been taking ART. One hundred and twenty-eight children were included in the analysis. There was more male (59%) than female children (41%). There were 68 HIV positive children in the case group and 60 children in the control group. Main delivery method in both case and control group was vaginal birth (75% and 52%). Breastfeeding was much higher in case group (88% vs 52%). Association between HIV infection in children and delivery method is not significant. On the other hand, breastfeeding is significantly associated with HIV infection in children. Children who were breastfed are twelve times (95% CI 3.275 – 62.981) more likely to have HIV infection. It was concluded that breastfeeding is an important risk factor in HIV transmission from mother to child, when mothers had had no ARV therapy.

Published in	American Journal of Pediatrics (Volume 2, Issue 4)
DOI	10.11648/j.ajp.20160204.11
Page(s)	15-18
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Breastfeeding, HIV, Transmission

References

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[2]	Rencana Aksi Nasional Pencegahan Penularan HIV dari Ibu ke Anak (PPIA) Indonesia 2013-2017. KesehatanRepublik Indonesia. Available from: http:// www.depkes.com.
[3]	Guidelines for second generation HIV surveillance: an update: Know your epidemic. Joint United Nations Programme on HIV/ AIDS. World Health Organization. Available from http:// www.who.int.
[4]	Situasi HIV/AIDS di Indonesia Tahun 1987-2006. Pusat Data dan Informasi, Departemen Kesehatan R. I. Jakarta, 2006. Available from: http:// www.depkes.com.
[5]	Fauci A, Braunwald E, et.al. Human Immunodeficiency Virus Disease. In: Harrison’s Principles of Internal Medicine. 17^th Edition. United States of America. McGraw-Hill Companies 2008. p. 1-10.
[6]	Cunningham FG, Gant NF, Lereno KJ, Gilstrap III LC, Hanth JC, Wenstrom KD. Human Immunodeficiency Virus Infection. In: William’s Obstetric. 22^nd Edition. New York: Mc Graw-Hill; 2001. p. 1-8.
[7]	Djoerban Z, Djauzi S. HIV/AIDS di Indonesia. Dalam: Buku Ajar Ilmu Penyakit Dalam. Jilid 3. Edisi 4. Jakarta: Interna Publishing. 2006. Hal.1803-7.
[8]	Decherney A, Goodwin M. et.al. Human Immunodeficiency Virus Infection. In: Current Diagnosis and Treatment Obstetrics and Gynecology. 10^th Edition. United States of America. McGraw-Hill Companies 2007. p. 1-6.
[9]	Panduan Tatalaksana Klinis Infeksi HIV pada Orang Dewasa dan Remaja, Edisi Kedua. Departemen Kesehatan R. I. 2007. Available from: http:// www.depkes.com.
[10]	HIV classification: CDC and WHO Staging System. HRSA HIV/AIDS Bureau. June 2012. World Health Organization. Available from http:// www. who.int.
[11]	Bulterys, M., Ellington S., Kourtis AP. HIV-1 and Breastfeeding: Biology of Transmission and Advances in Prevention. Clin Perinatol 37 (2010) 807–824.
[12]	Depkes RI. Pedoman Nasional Pencegahan Penularan HIV dari Ibu ke Bayi, 2006.
[13]	WHO. Antiretroviral drug for treating pregnant women and preventing HIV infection in infant in resource – limited setting. HIV/AIDS Programme. Recommendation for a public health approach, 2006 version. Diambil dari: http://www.who.int/hiv/pub/guidelines/pmtctguidelines2.pdf.
[14]	Depkes RI. Pedoman Nasional Perawatan, Dukungan dan Pengobatan bagi ODHA, 2003.
[15]	Alimonti J, Blake T, Fowke K. Mechanisme of CD4 T–lymphocyte cell death in HIV infection. Journal of General Virology 2003;22:1649-61.
[16]	Vertical transmission (cited 2011). www.unaids.org
[17]	Djauzi S, Doerban Z. Penatalaksanaan HIV/AIDS di pelayanan kesehatan dasar, Pokdiksus AIDS FKUI/RSCM dan Yayasan Pelita Ilmu, Jakarta, 2003.
[18]	Yunihastuti E, Wibowo N, Djauzi S, Djoerban Z. Infeksi HIV pada kehamilan, Fakultas Kedokteran Universitas Indonesia, Jakarta 2003.
[19]	Sherr L. Vertical transmission of HIV-pregnancy and infant issues. In: Rohleder P, editor. HIV/AIDS in South Africa 25 Years. Springer Science, New York; 2009: hal. 183-205.
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[21]	WHO. Infant feeding and HIV transmission. Department of Nutrition for Health and Development, 2005.

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APA Style

Anggraini Alam, Riyadi Riyadi, Filla Reviyani Suryaningrat, Yanti Siauta, Yelliantty Yelliantty. (2016). Breastfeeding in Mother to Child Transmission in HIV Patient in West Java. American Journal of Pediatrics, 2(4), 15-18. https://doi.org/10.11648/j.ajp.20160204.11

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ACS Style

Anggraini Alam; Riyadi Riyadi; Filla Reviyani Suryaningrat; Yanti Siauta; Yelliantty Yelliantty. Breastfeeding in Mother to Child Transmission in HIV Patient in West Java. Am. J. Pediatr. 2016, 2(4), 15-18. doi: 10.11648/j.ajp.20160204.11

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AMA Style

Anggraini Alam, Riyadi Riyadi, Filla Reviyani Suryaningrat, Yanti Siauta, Yelliantty Yelliantty. Breastfeeding in Mother to Child Transmission in HIV Patient in West Java. Am J Pediatr. 2016;2(4):15-18. doi: 10.11648/j.ajp.20160204.11

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@article{10.11648/j.ajp.20160204.11,
  author = {Anggraini Alam and Riyadi Riyadi and Filla Reviyani Suryaningrat and Yanti Siauta and Yelliantty Yelliantty},
  title = {Breastfeeding in Mother to Child Transmission in HIV Patient in West Java},
  journal = {American Journal of Pediatrics},
  volume = {2},
  number = {4},
  pages = {15-18},
  doi = {10.11648/j.ajp.20160204.11},
  url = {https://doi.org/10.11648/j.ajp.20160204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20160204.11},
  abstract = {Estimates and projections of children living with HIV, the number of new HIV infections and AIDS-related deaths show an increasing trend every year. The number of children living with HIV is projected increase from 20,181 in 2014 to 31,146 in 2019, and the projected number of new infections in this age will increase from 4,653 in 2014 to 5,309 in 2019. On the other hand, the estimated number and projections of AIDS-associated deaths in children will change from 2,107 in 2014 to 2,950 in 2019. The objective of this study is to identify one of risk factor in HIV transmission from mother to child, which is breastfeeding and enrich the knowledge related to risk factors of HIV transmission from mother to child, so that the transmission rate can be reduce. This study was a case-control design conducted in the Hasan Sadikin General Hospital, Bandung. From 2002 until 2010. Subjects were all children, from 6-14 years old which are carried out the HIV test. Two groups were observed. First group were children with HIV positive and control group were HIV negative children with HIV positive mother. Data on breastfeeding history was obtained from interviews with family. The whole pregnant and lactating women have not been taking ART. One hundred and twenty-eight children were included in the analysis. There was more male (59%) than female children (41%). There were 68 HIV positive children in the case group and 60 children in the control group. Main delivery method in both case and control group was vaginal birth (75% and 52%). Breastfeeding was much higher in case group (88% vs 52%). Association between HIV infection in children and delivery method is not significant. On the other hand, breastfeeding is significantly associated with HIV infection in children. Children who were breastfed are twelve times (95% CI 3.275 – 62.981) more likely to have HIV infection. It was concluded that breastfeeding is an important risk factor in HIV transmission from mother to child, when mothers had had no ARV therapy.},
 year = {2016}
}

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TY - JOUR
T1 - Breastfeeding in Mother to Child Transmission in HIV Patient in West Java
AU - Anggraini Alam
AU - Riyadi Riyadi
AU - Filla Reviyani Suryaningrat
AU - Yanti Siauta
AU - Yelliantty Yelliantty
Y1 - 2016/12/10
PY - 2016
N1 - https://doi.org/10.11648/j.ajp.20160204.11
DO - 10.11648/j.ajp.20160204.11
T2 - American Journal of Pediatrics
JF - American Journal of Pediatrics
JO - American Journal of Pediatrics
SP - 15
EP - 18
PB - Science Publishing Group
SN - 2472-0909
UR - https://doi.org/10.11648/j.ajp.20160204.11
AB - Estimates and projections of children living with HIV, the number of new HIV infections and AIDS-related deaths show an increasing trend every year. The number of children living with HIV is projected increase from 20,181 in 2014 to 31,146 in 2019, and the projected number of new infections in this age will increase from 4,653 in 2014 to 5,309 in 2019. On the other hand, the estimated number and projections of AIDS-associated deaths in children will change from 2,107 in 2014 to 2,950 in 2019. The objective of this study is to identify one of risk factor in HIV transmission from mother to child, which is breastfeeding and enrich the knowledge related to risk factors of HIV transmission from mother to child, so that the transmission rate can be reduce. This study was a case-control design conducted in the Hasan Sadikin General Hospital, Bandung. From 2002 until 2010. Subjects were all children, from 6-14 years old which are carried out the HIV test. Two groups were observed. First group were children with HIV positive and control group were HIV negative children with HIV positive mother. Data on breastfeeding history was obtained from interviews with family. The whole pregnant and lactating women have not been taking ART. One hundred and twenty-eight children were included in the analysis. There was more male (59%) than female children (41%). There were 68 HIV positive children in the case group and 60 children in the control group. Main delivery method in both case and control group was vaginal birth (75% and 52%). Breastfeeding was much higher in case group (88% vs 52%). Association between HIV infection in children and delivery method is not significant. On the other hand, breastfeeding is significantly associated with HIV infection in children. Children who were breastfed are twelve times (95% CI 3.275 – 62.981) more likely to have HIV infection. It was concluded that breastfeeding is an important risk factor in HIV transmission from mother to child, when mothers had had no ARV therapy.
VL - 2
IS - 4
ER -

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Author Information

Anggraini Alam

Department of Pediatrics-Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung, West Java, Indonesia
Riyadi Riyadi

Department of Pediatrics-Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung, West Java, Indonesia
Filla Reviyani Suryaningrat

Department of Pediatrics-Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung, West Java, Indonesia
Yanti Siauta

Department of Pediatrics-Hasan Sadikin General Hospital, Universitas Padjadjaran, Bandung, West Java, Indonesia
Yelliantty Yelliantty

Department of Food Technology, Pasundan University, Bandung, Indonesia

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APA Style

Anggraini Alam, Riyadi Riyadi, Filla Reviyani Suryaningrat, Yanti Siauta, Yelliantty Yelliantty. (2016). Breastfeeding in Mother to Child Transmission in HIV Patient in West Java. American Journal of Pediatrics, 2(4), 15-18. https://doi.org/10.11648/j.ajp.20160204.11

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ACS Style

Anggraini Alam; Riyadi Riyadi; Filla Reviyani Suryaningrat; Yanti Siauta; Yelliantty Yelliantty. Breastfeeding in Mother to Child Transmission in HIV Patient in West Java. Am. J. Pediatr. 2016, 2(4), 15-18. doi: 10.11648/j.ajp.20160204.11

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AMA Style

Anggraini Alam, Riyadi Riyadi, Filla Reviyani Suryaningrat, Yanti Siauta, Yelliantty Yelliantty. Breastfeeding in Mother to Child Transmission in HIV Patient in West Java. Am J Pediatr. 2016;2(4):15-18. doi: 10.11648/j.ajp.20160204.11

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@article{10.11648/j.ajp.20160204.11,
  author = {Anggraini Alam and Riyadi Riyadi and Filla Reviyani Suryaningrat and Yanti Siauta and Yelliantty Yelliantty},
  title = {Breastfeeding in Mother to Child Transmission in HIV Patient in West Java},
  journal = {American Journal of Pediatrics},
  volume = {2},
  number = {4},
  pages = {15-18},
  doi = {10.11648/j.ajp.20160204.11},
  url = {https://doi.org/10.11648/j.ajp.20160204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20160204.11},
  abstract = {Estimates and projections of children living with HIV, the number of new HIV infections and AIDS-related deaths show an increasing trend every year. The number of children living with HIV is projected increase from 20,181 in 2014 to 31,146 in 2019, and the projected number of new infections in this age will increase from 4,653 in 2014 to 5,309 in 2019. On the other hand, the estimated number and projections of AIDS-associated deaths in children will change from 2,107 in 2014 to 2,950 in 2019. The objective of this study is to identify one of risk factor in HIV transmission from mother to child, which is breastfeeding and enrich the knowledge related to risk factors of HIV transmission from mother to child, so that the transmission rate can be reduce. This study was a case-control design conducted in the Hasan Sadikin General Hospital, Bandung. From 2002 until 2010. Subjects were all children, from 6-14 years old which are carried out the HIV test. Two groups were observed. First group were children with HIV positive and control group were HIV negative children with HIV positive mother. Data on breastfeeding history was obtained from interviews with family. The whole pregnant and lactating women have not been taking ART. One hundred and twenty-eight children were included in the analysis. There was more male (59%) than female children (41%). There were 68 HIV positive children in the case group and 60 children in the control group. Main delivery method in both case and control group was vaginal birth (75% and 52%). Breastfeeding was much higher in case group (88% vs 52%). Association between HIV infection in children and delivery method is not significant. On the other hand, breastfeeding is significantly associated with HIV infection in children. Children who were breastfed are twelve times (95% CI 3.275 – 62.981) more likely to have HIV infection. It was concluded that breastfeeding is an important risk factor in HIV transmission from mother to child, when mothers had had no ARV therapy.},
 year = {2016}
}

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