PDF(Pubmed)
Abstract：
The main mode of mother-to-child transmission of the human T-cell leukemia virus (HTLV)-1 is through breastfeeding. Although the most reliable nutritional regimen to prevent HTLV-1 transmission is exclusive formula feeding, a recent meta-analysis revealed that short-term breastfeeding within 90 days does not increase the risk of infection. The protocol of the Japanese Health, Labor, and Welfare Science Research Group primarily recommended exclusive formula feeding for mothers who are positive for HTLV-1. However, there has been no quantitative research on the difficulties experienced by HTLV-1-positive mothers in carrying out these nutritional regimens, including the psychological burden. Therefore, this review was performed to clarify the burdens and difficulties encountered by mothers who are positive for HTLV-1; to this end, we analyzed the data registrants on the HTLV-1 career registration website \"Carri-net\" website. The data strongly suggest that it is not sufficient to simply recommend exclusive formula feeding or short-term breastfeeding as a means of preventing mother-to-child transmission; it is important for health care providers to understand that these nutritional regimens represent a major burden for pregnant women who are positive for HTLV-1 and to provide close support to ensure these women\'s health.
摘要：
人类T细胞白血病病毒（HTLV）-1的主要母婴传播方式是通过母乳喂养。尽管防止HTLV-1传播的最可靠的营养方案是独家配方喂养，最近的一项荟萃分析显示,90天内的短期母乳喂养不会增加感染风险.日本卫生协议，劳工,和福利科学研究小组主要建议对HTLV-1阳性的母亲进行独家配方喂养。然而,没有定量研究HTLV-1阳性母亲在实施这些营养方案时遇到的困难，包括心理负担。因此,进行这项审查是为了澄清对HTLV-1呈阳性的母亲所遇到的负担和困难；为此，我们分析了HTLV-1职业注册网站“Carri-net”网站上的数据注册人。数据强烈表明，仅仅推荐独家配方奶喂养或短期母乳喂养作为预防母婴传播的手段是不够的；对于卫生保健提供者来说，重要的是要了解这些营养方案是HTLV-1阳性的孕妇的主要负担，并提供密切支持以确保这些妇女的健康。
