ABSTRACT
Most mothers have the ability to breastfeed successfully for the first six months following birth and to continue beyond this, alongside solid food, up to two years and beyond, as recommended by the WHO (2002) and the Department of Health (DH, 2003). However, a small number of mothers may be unable to breastfeed or may have difficulty initiating and maintaining lactation and will require a great deal of support and advice from midwives and health
lished an updated list of acceptable medical reasons for temporary or longterm use of breastmilk substitutes:
• Maternal conditions that may justify permanent avoidance of breast - feeding:
– HIV infection, if replacement feeding is acceptable, feasible, affordable, sustainable and safe.
