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L Kuhn
Dr L Kuhn, Columbia University, New York, NY, USA; lk24@columbia.edu
STUDY DESIGN
Design:
randomised controlled trial.
Allocation:
{concealed}†.*
Blinding:
unblinded.*
STUDY QUESTION
Setting:
2 antenatal clinics in Lusaka, Zambia.
Patients:
958 women (mean age 26 y) who had HIV, were enrolled during pregnancy and planned to breast feed, accepted treatment with nevirapine, and were still breast feeding 1 month after birth. Exclusion criteria were severe pregnancy complications, past caesarean delivery, or hospital admission for HIV-related conditions.
Intervention:
counselling intervention (n = 481), which encouraged women to breast feed exclusively for 4 months and then cease breast feeding abruptly, or standard care (n = 477), where women were encouraged to breast feed exclusively for 6 months, and then continue as long as they wished, with gradual …
Footnotes
Source of funding: National Institute of Child Health and Human Development; Centers for Disease Control and Prevention; Agency for International Development; Stephen Lewis Foundation.