Le Roux SM, Abrams EJ, Nguyen KK, Myer L.
AIDS. 2019 Mar 29. doi: 10.1097/QAD.0000000000002224. [Epub ahead of print]
Despite widespread concerns about HIV incidence in pregnant and postpartum women there are few data from Africa on HIV acquisition in breastfeeding and subsequent mother-to-child transmission. We measured HIV incidence in a prospective cohort of 413 peripartum and breastfeeding women who tested HIV-negative during pregnancy. In 377 woman-years accrued postpartum (median duration of follow-up, 1 year) there were 7 women infected after delivery (postpartum incidence, 1.86/100PY; 95% CI 0.88-3.89) with transmission to 2/7 (28%) infants.