Copyright 2002 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2002
In Reply: As Dr Nogueira states, the study
by Mbori-Ngacha et al1 was well designed
and carefully implemented and analyzed. Our comments about the trial's results
reinforced some of the conclusions made by the authors themselves. The authors
indicated that their results were not necessarily generalizable to all women
and represented a best-case scenario. All women had access to clean water,
extensive health education, and medical care and close follow-up of their
infants. For women in countries such as Brazil, Thailand, South Africa, and
the subset of women in all resource-poor settings who have similar access,
the findings of Mbori-Ngacha et al are reassuring. Formula feeding can decrease
the rate of HIV transmission and can likely be done with minimal risk to the
infant under these circumstances. However, this study does not establish that
access to and use of formula is indeed safe and effective nor desired by all
women in developing countries.
Guay L, Ruff A. Breastfeeding vs Formula-Feeding Among HIV-Infected Women in Resource-Poor Areas—Reply. JAMA. 2002;287(9):1110–1113. doi:10.1001/jama.287.9.1109
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