Wolf et al1 present a thoughtful case regarding the legal and ethical issues involved in court-ordered prophylaxis to prevent mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV). However, there are several errors and omissions to which we would like to refer your readers.
The authors state that " . . . the presence of maternal antibodies makes it difficult to identify these infants at birth in routine clinical practice." In fact, it is still impossible to determine with much accuracy which infants are infected at birth in any setting.2 This increases our level of uncertainty about the extent to which HIV transmission occurs through breastfeeding.
Greiner T, Sachs M, Morrison P. The Choice by HIV-Positive Women to Exclusively Breastfeed Should Be Supported. Arch Pediatr Adolesc Med. 2002;156(1):87-88. doi: