Other Ways for HIV-Positive women to have children

During pregnancy, delivery, or breast-feeding, HIV Doctor in Delhi can be passed from an infected woman to her foetus. In certain impoverished nations, this is still the most common method of HIV transmission. HIV can be transmitted to the foetus during the first or second trimesters of pregnancy, according to virology investigations of aborted foetuses. Maternal transmission to the foetus, on the other hand, is most common during the prenatal period. According to two studies conducted in Rwanda and the Democratic Republic of Congo (then known as Zaire), the relative proportions of HIV transmission before birth, 50–65 percent during birth, and 12–20 percent via breast-feeding were 23–30 percent before birth, 50–65 percent during birth, and 12–20 percent via breast-feeding.

In the absence of antiretroviral therapy for the mother during pregnancy, labour, and delivery, as well as prophylactic antiretroviral therapy for the foetus after birth, the risk of HIV transmission from mother to infant/fetes ranges from 15 to 25% in developed countries and from 25 to 35 percent in developing countries. These disparities could be related to the quality of prenatal treatment provided, the stage of HIV infection, and the mother's overall health throughout pregnancy. Many factors have been linked to higher rates of transmission, the well-documented of which is the presence of high maternal plasma viremia, with the risk increasing linearly with the amount of maternal plasma viremia. If the mother's plasma viremia level is elevated, mother-to-child transmission is extremely rare. A closer human leukocyte antigen (HLA) match between mother and kid is also linked to mother-to-child transmission. Another well-documented risk factor for transmission is a protracted time between membrane rupture and delivery. Other disorders that could be risk factors but haven't been shown are chorioamnionitis at delivery, STIs during pregnancy, illicit drug use during pregnancy, cigarette smoking, premature delivery, and obstetrical procedures like caesarean section.

Amniocentesis, amnioscopy, foetal scalp electrodes, and episiotomy are examples of procedures. In pregnant women undergoing antiretroviral therapy (ART), the rate of mother-to-child transmission has dropped to less than 1%. In the United States and other industrialised countries, such therapy, together with caesarean section delivery, has made HIV transmission from mother to child extremely rare. In this regard, both the US Public Health Service and the World Health Organization recommend that all HIV-infected pregnant women get life-long ART for the mother's health as well as to avoid perinatal transmission (independent of plasma HIV RNA copy number or CD4+ T-cell counts).

In some underdeveloped countries, breast-feeding is a major mode of HIV transmission, especially when mothers continue to breast-feed for lengthy periods of time. Detectable amounts of HIV in breast milk, mastitis, low maternal CD4+ T-cell counts, and maternal vitamin A deficiency are all risk factors for mother-to-child HIV transmission via breast-feeding. The risk of HIV infection from breast-feeding is highest in the first few months.  Furthermore, compared to mixed feeding, exclusive breast-feeding has been linked to a decreased risk of HIV transmission. Breast-feeding by an HIV-positive mother is not recommended in developed nations because alternative kinds of appropriate nourishment, such as formulas, are readily available. In underdeveloped countries, where breast-feeding is important for the newborn's general health, continuing ART in the infected mother during the nursing phase significantly reduces the chance of HIV transmission to the infant. In truth, ART treatment for a pregnant woman should be administered for the woman's benefit as well as the prevention of mother-to-child transmission, and it should be continued after the pregnancy, for the rest of her life.

To find out if you have HIV, get tested as soon as possible.

• HIV treatment will prevent transmission to your infant more successfully if it is discovered and treated early.
• Get tested again in your third trimester if you or your partner participate in behaviours that put you at risk for HIV.
• You should also advise your partner to undergo HIV testing.

Take antiretroviral treatment if you don't have HIV but are at risk.

• If you have an HIV-positive partner and are thinking about getting pregnant, talk to your doctor about PrEP (pre-exposure prophylaxis).
• While trying to conceive, during pregnancy, or while breastfeeding, PrEP may be an option to help protect you and your baby from contracting HIV.
• To see if PrEP is correct for you, fill out the form below.

To Treat HIV, Take Medicine

·       If you have HIV and take your HIV treatment as directed during pregnancy and childbirth, as well as giving HIV medicine to your baby for 4 to 6 weeks after birth, your chance of transferring HIV to your baby is as low as 1%.

·         Because breast milk carries HIV, you can avoid transferring HIV to your infant by not breastfeeding after delivery.

·         Encourage your HIV-positive companion to start and maintain treatment. This will stop your partner from infecting you with HIV. HIV-positive people who follow their medication as directed and achieve and maintain an undetectable viral load will not pass the virus on to their sex partner.

 

 

 

 

Dr. Raina’s Safe Hands Clinic

Dr. Vinod Raina HIV Doctors in Greater Kailash

Contact Us-9136363692|9871605858

Address: — Saket E-34, Ekta Apartments near

Malviya Nagar Metro Station Gate No-4 New Delhi-110017