Layla

Formula was recommended when Layla’s first child was born prematurely based on there being limited data on HIV transmission risks in premature babies. Layla feels that having formula fed her older child made her decision to formula feed her new baby a bit easie.

Layla was diagnosed with HIV in 2007 when she was 21 years old, after a condom split with a former partner. She was shocked at her diagnosis, but medical staff reassured her.

Layla began medication when she met her partner (who would later become her husband). Her husband does not have HIV.

Layla was advised not to breastfeed her older child when he was born premature, and the UK infant feeding guidelines had only just changed the year he was born (making breastfeeding an option under certain conditions). Layla had wanted to breastfeed her new baby, but her husband was less keen. Due to her international work, Layla was aware that women with HIV are encouraged to breastfeed in different parts of the world. She asked to speak to other mothers who had breastfed in the UK, but there was no one local that the medical staff could connect her with. When she decided to formula feed, though her medical team was happy. Layla has had a positive experience with formula feeding and feels assured knowing there is no risk of transmission.

Layla will receive free formula milk for up to a year. She also received free formula milk on the maternity ward. Her and her husband bought the other equipment such as bottles and sterilising equipment.

Layla was worried that people would ask why she was not breastfeeding, but lockdown restricted the number of visitors she received as well as questions about her infant feeding decisions.

Layla was happy with her choice to formula feed and had not found it difficult.

Age at interview 35

Age at diagnosis 21

Layla felt she treated just like any other woman giving birth. She was pleased to have a private room while her baby was in the neonatal unit.

Age at interview 35

Age at diagnosis 21

Layla felt uncomfortable that a doctor spoke to her about HIV while she was on the ward. She was worried people would overhear.

Age at interview 35

Age at diagnosis 21

Layla had considered breastfeeding because she knew that breastfeeding is encouraged in East Africa, but eventually agreed with her husband’s choice to formula feed.

Age at interview 35

Age at diagnosis 21

Layla felt that her GP was sending her back to HIV services for care they could deliver themselves.

Age at interview 35

Age at diagnosis 21