HIV and Pregnancy

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HIV and Pregnancy

In the past, if a woman was HIV+, having a baby was the last thing on her mind; HIV and pregnancy just didn't g together. The natural fear of transmitting HIV to her unborn baby was too unthinkable for most women. But nowadays the advent of HIV medications and the acceptance by doctors that HIV positive women can get pregnant, carry the baby to term, and not transmit HIV to the newborn baby has given these women renewed hope of having a family and being mothers. However, itr is not without risk. But if women are aware of the risks and work closely with their doctors, there is no reason that HIV should prevent them from bearing children.

How Does HIV Infect the Baby in the womb?

Passing of HIV from mother to unborn child occurs in a few ways:

Sharing of the Blood Supply - HIV can be transmitted from mother to the unborn child while growing inside the womb. The mother's HIV+ blood also circulates in the unborn child, exposing the fetus to HIV in the process.
Infection During Delivery - During the delivery, the baby is exposed to large amounts of the mom's infected bodily fluids. Transmission can occur if the exposure is sufficient. For this reason, most HIV+ woman deliver their baby by C-section because there is less bodily fluid exposure and the doctor has more control of any exposure to bodily fluids that does occur.
During Breastfeeding - HIV can pass from mother to baby during while the baby is being breastfed. Mother's milk has very high concentrations of HIV, and without precautions, the risk of HIV infection during breastfeeding is around one in four. For that reason, women are instructed not to breastfeed if there are other options available to them such as commercial formula.

Preventing the Transmission of HIV from Mother to Baby?

Without proper precautions and HIV care during pregnancy, during delivery, and after delivery, the risk of giving your baby HIV is about 25 percent. But the good news is that the risk can be lowered to about two or three percent by following these guidelines.

Using HIV Medications and herbal supplements - We all know the benefits of taking HIV medicines. Having a pregnant woman take a regimen containing Retrovir (AZT) during the last six months of her pregnancy, during the delivery of her baby, and giving AZT to to the baby after being born can significantly decrease the risk of transmitting HIV to the baby. Revivo can also be given to the baby in addition at quarter of the adult dosage but Revivo cannot be used by the mother during pregnancy.
Delivering by Cesarean Section (C-section) - To reduce the risk of HIV transmission, exposure time to HIV infected fluids must be kept to the minimum. A Cesarean is a quicker type of birth with reduced exposure to infected fluids when compared to a natural birth. Also, there is much better control of the fluids and the infants exposure to fluids than there is with a regular birth.
Avoid Breast Milk - Because HIV can be transmitted through the breast milk, women who have HIV should not breast feed their babies especially if there are other options available.

Is Pregnancy Dangerous for the Mother to Be?

There is no evidence that being pregnant makes a woman's HIV condition worse. Keep in mind that the drug Sustiva (efavirenz) cannot be used during pregnancy due to the harmful effects it may have on the baby.

Important Warning!
Sustiva can cause birth defects if taken during pregnancy. Therefore, Sustiva should never be taken while you are pregnant. If you are pregnant or thinking about becoming pregnant and you're taking Sustiva, notify your HIV doctor and Obstetrician (doctor caring for your pregnancy) immediately.

The risk of passing HIV to your baby can be decreased to as little as two percent if a woman takes HIV meds at appropriate times in her pregnancy, delivers her baby by C-section, and does not breastfeed. HIV no longer prevents a couple from starting a family. HIV no longer means a woman can't become a mother. Again, with the proper medical care and by taking care of yourself, you can take control of your life and your future.

Important Information!
If you are thinking of becoming pregnant, talk to your HIV specialist and your Gynecologist in order to develop a plan for your pregnancy and for your healthy baby.

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