Experiences of HIV positive mothers who chose not to breastfeed their babies in Nigeria
), Ayebo E. Sadoh(2),
(1)
(2)
Corresponding Author
Abstract
HIV positive mothers, who choose not to breastfeed their babies in a predominantly breastfeeding community would face a number of barriers. This study looked at the experiences of HIV positive mothers who chose the no breastfeeding option. Consecutive HIV positive mothers who opted not to breastfeed their infants after infant feeding counselling and whose infants were attending the HIV programme at the University of Benin Teaching Hospital, Benin City, Nigeria were recruited for the study. Disclosure of HIV serostatus and adherence to no breastfeeding options were evaluated using an interviewer administered structured questionnaire. Of the 62 mothers recruited for the study, 57 (91.94 %) had disclosed their serostatus to at least their partners. Most partners 42 (93.33%) were supportive while three mothers were divorced following disclosure. Thirteen (20.97%) mothers could not comply with no breastfeeding. Non disclosure of serostatus, pressure from extended family and token breastfeeding mitigate against adhering to no breastfeeding by HIV positive mothers (Afr J Reprod Health 2009; 13[1]:27-35).
RĖSUMĖ
Les expériences des mères séropositives qui choisissent de ne pas allaiter leurs bébés au Nigéria. Les mères séropositives qui choisissent de ne pas allaiter leurs bébés dans une communauté qui pratique principalement l’allaitement rencontreraient des obstacles. Cette étude a examiné les expériences des mères séropositives qui ont choisi de ne pas allaiter. Les mères séropositives consécutives qui ont choisi de ne pas allaiter leurs bébés après l’orientation sur l’allaitement au sein et dont les enfants suivaient le programme sur le VIH au Centre Hospitalier Universitaire à Bénin City, Nigeria ont été recrutés pour l’étude. La révélation de la séropositivité et l’adhérence aux options de ne pas allaiter ont été évaluées à l’aide d’un questionnaire structuré administré par un interviewer. Sur les 63 mères qui ont été recrutées pour l’étude, 57(91,94%) avaient révélé leur séropositivité au moins à leurs partenaires. La plupart des partenaires 42 (93,33%) ont soutenu leurs femmes, alors que trois mères ont subi le divorce suite à la révélation. Treize (20,97%) mères ne pouvaient pas respecté le non-allaitement. La non-révélation de la séropositivité, la pression de la part de la famille étendue et l’allaitement symbolique font que les mères séropositives n’acceptent pas de ne pas allaiter (Afr J Reprod Health 2009; 13[1]:27-35).
KEYWORDS: Barriers, Disclosure, Breastfeeding choices, Support
1
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