Medical Centric

HIV During Pregnancy: What You Need to Know

HIV During Pregnancy

  • If you are pregnant and are diagnosed with an HIV infection, it is quite normal to have several questions and concerns.
  • A 2018 study estimates that around 5000 women with HIV give birth every year, making it a fairly well-known condition.
  • What you need to be sure of is that having HIV during pregnancy does spell doom for you and your baby.
  • With the right treatment and precautions, you will be able to give birth to a healthy baby.
  • Let’s look at this in detail:

What is HIV?

  • The human immunodeficiency virus (HIV) affects your immune system and weakens it to the point that your body gets susceptible to other infections and antigens.
  • The virus is transmitted through sexual contact and other means, specifically by the exchange of bodily fluids.
  • You may have HIV and be a carrier without showing any symptoms, making it important to get yourself tested for the virus.
  • However, HIV does not mean that you have AIDS disease.
  • AIDS develops as a result of HIV, and you will become susceptible to it if you let HIV stay inside your body without treatment.
  • You will be monitored closely during treatment, with the amount of HIV in your blood is regularly tested.

Will the Baby Get HIV?

  • HIV does not take away the ability to get pregnant and neither does it interfere in a normal, healthy delivery.
  • The baby does not usually get the virus if the mother is being treated.
  • However, there is still a risk of transmission, which can occur:
  1. During pregnancy from the blood in the placenta.
  2. During labor and delivery if the baby comes into contact with the mother’s blood.
  3. Through breastfeeding, which increases a baby’s chance of getting HIV by 10 to 20%.
  • The risk of passing on HIV increases if:
  1. You have an illness caused due to HIV, such as tuberculosis.
  2. You have a sexually transmitted infection (STI) during pregnancy that has not been treated.
  3. Having a high viral load but low immune cell count (CD4).

How to Minimize Risk of Passing HIV to the Baby

  • Having HIV during pregnancy does not mean that you are confirmed to pass it to your baby.
  • By taking the right steps, you can decrease the risk of transmission by 99%.
  • Taking anti-viral medication to treat your HIV infection is the first step.
  • Not all HIV medication is safe for a baby, and you will need to consult your doctor for the medicines you and your baby need.
  • The medicine helps fight the infection in you and your baby.
  • Secondly, opting for a C-section (Caesarean) delivery decreases the chance of HIV transmission.
  • Finally, you have to avoid breastfeeding your baby.
  • Although breastfeeding is important for a baby’s development, it can increase the risk of HIV transmission.
  • It is encouraged to breastfeed a baby if you are showing low viral counts, but it is a risk otherwise.
  • You need to protect your baby and look for other solutions.