Lana

Lana was diagnosed in 2019, when she was pregnant with her first child. She formula fed her older child and is currently undecided about how to feed her new baby.

When Lana had her first baby, she suffered from severe depression. She felt that her healthcare team was focused so completely on preventing HIV transmission that they neglected to care for her: everything for the baby like I wasn’t existin. As she had been diagnosed late in pregnancy there was not even any discussion about breastfeeding.

Lana has an undetectable viral load now. She and her husband are undecided about whether to breastfeed their unborn baby. Lana wants to consider breastfeeding but does not feel supported by her medical team to do so and feels like they do not like her asking questions. She has been researching the available evidence from across the world. She expressed frustration about the limited research available on breastfeeding and HIV, and especially from high income settings.

Early in her current pregnancy, Lana experienced hyperemesis, which is a severe form of morning sickness. This meant that her viral load became detectable, and so her husband needed to be tested for HIV (he tested negative).

Lana asked questions about the guidelines but got few answers. Pregnant at the time, Lana felt like her HIV clinicians judged her as incapable of understanding research because she is Black.

Age at interview 39

Age at diagnosis 37

Lana’s GP incorrectly told her that she would have to tell her work about her diagnosis and threatened breech her confidentiality is she did not.

Age at interview 39

Age at diagnosis 37

Lana had an allergic reaction to her HIV medication when she first started taking it.

Age at interview 39

Age at diagnosis 37

Lana was diagnosed during her first pregnancy and wanted her medical team to think about her needs as well as her unborn baby.

Age at interview 39

Age at diagnosis 37