How do you counsel HIV patients with an undetectable viral load on breastfeeding?

People who are virally suppressed on ART are at very low risk of transmission to infants through breastfeeding, less than 1%-- however, the rate is not 0, and any infant with HIV is heartbreaking. The risks are particularly high in infants who are transitioning to solid foods (potentially related to...

I agree with Dr. @Dr. First Last that preventable HIV in a newborn would be tragic. Neither DHHS nor WHO recommend flash heating of pumped milk - but if a woman strongly wants to give her baby breast milk that's what I would advise. Two weeks of feeding colostrum-rich breast milk probably gives a pr...