If an HIV-positive mother chooses to breastfeed, she should–

Correct option is B

Sol. As per WHO and NACO guidelines, an HIV-positive mother should exclusively breastfeed for the first 6 months if she is on lifelong antiretroviral therapy (ART). Mixed feeding increases the risk of HIV transmission, while exclusive breastfeeding with ART minimizes the risk and ensures proper infant nutrition. Safe weaning should begin after 6 months while continuing ART.
Explanation of each option:
· (a) Alternate breastfeeding with formula – Not recommended; mixed feeding increases the risk of gut inflammation and HIV transmission.
· (b) Breastfeed exclusively along with ART – Correct Answer. Safest method in resource-limited settings. ART reduces viral load, lowering transmission risk.
· (c) Expressed milk via katori/spoon – Not harmful, but not a necessity. Direct exclusive breastfeeding is preferred unless medically contraindicated.
· (d) Breastfeed only at night – Partial feeding is risky; exclusive breastfeeding is necessary to protect the gut lining and reduce HIV transmission risk.