How can an hiv positive woman get pregnant
Your baby may get human immunodeficiency virus HIV from you during pregnancy, during delivery or from breastfeeding. However, there are ways to significantly reduce the chances that your baby will become infected. During your pregnancy and delivery, you should take antiretroviral drugs used to treat or prevent HIV to lower the risk of passing the infection to your baby — even if your HIV viral load is very low. If you and your baby do not take antiretroviral drugs, there is about a 1 in 4 chance that your baby will get HIV. Your baby should take one or more antiretroviral drugs for the first 4 or 6 weeks of life. The best way to deliver your baby by Caesarean section or vaginally depends on how much of the virus is in your blood your HIV viral load at the time of delivery.SEE VIDEO BY TOPIC: HIV / AIDS and Pregnancy - What You Need To Know
SEE VIDEO BY TOPIC: Benefits and Risks of ART for Perinatal HIV PreventionContent:
- HIV and women – having children
- HIV and Pregnancy
- Can HIV be passed to an unborn baby in pregnancy or through breastfeeding?
- How to become pregnant when one partner is HIV positive and the other is HIV negative
- Supporting HIV-Affected Couples Trying to Conceive
- How to Get Pregnant If You or Your Partner Has HIV
- HIV and Family Planning
- Preventing Mother-to-Child Transmission of HIV
- Information for pregnant women who have HIV
- Fertility, Conception and HIV
HIV and women – having children
Victorian government portal for older people, with information about government and community services and programs. Type a minimum of three characters then press UP or DOWN on the keyboard to navigate the autocompleted search results. Women living with human immunodeficiency virus HIV in Australia, or women whose partner is HIV-positive, may wish to have children but feel concerned about the risk of transmission of the virus to themselves if their partner is HIV-positive or to the baby.
If you are living with HIV or your partner is HIV-positive, you can plan pregnancy or explore other ways to have children, depending on your wishes. Talk with an HIV specialist doctor before you become pregnant. The right specialised treatment and medical care can reduce the risk of passing HIV to your unborn child to less than two per cent. Without treatment, up to 35 per cent of babies born to women living with HIV may contract the virus. HIV is a virus that can weaken the immune system to the point that it is unable to fight off simple infections.
AIDS acquired immune deficiency syndrome is the most advanced stage of HIV infection, when the immune system is at its weakest and a person has several specific illnesses. It is also transmitted through sharing needles, syringes and other injecting equipment. Women living with HIV who are on treatment and have an undetectable viral load are extremely unlikely to transmit HIV to their baby, either through childbirth or breastfeeding.
However, researchers are still working to build enough evidence on this before it can be confirmed. Deciding to have a baby is a big decision for anyone, but for a woman living with HIV, or who has a male partner with HIV, the decision and planning requires extra considerations. If you are in this situation, seek professional advice and find out as much as you can before you become pregnant. It may help to talk the issues through with:.
Medical advances have made the risk of HIV transmission to a baby very low, but for women with HIV, becoming a mother can bring with it unique concerns, such as:. There is excellent support for women living with HIV in Victoria who are considering pregnancy. See the contacts at the end of this fact sheet for more information. It is important to tell your doctor, obstetrician or midwife about your HIV status. This helps your health professional to offer you treatment both before and during pregnancy that is suitable and safe.
It also allows them to take steps to minimise the risk of accidental transmission during any medical procedures. HIV testing of women in early pregnancy is now routine in Australia. Testing should be done with your consent and is offered during your first set of antenatal tests. If you receive a positive test result, be reassured that many people with HIV live a full and active life, and that the risk of HIV transmission to your child is very low, given appropriate treatment.
If you are living with HIV and become pregnant, or would like to have a baby, it is strongly recommend that you talk to specialists. This clinic specialises in helping serodiscordant couples where one partner has HIV and the other does not to conceive safely. Recent studies have shown that when a person with HIV is on effective treatment and has very low levels of virus in their body also known as undetectable viral load they are uninfectious and cannot transmit the virus. It is believed that this includes transmission during pregnancy and breastfeeding, but researchers are still gathering more evidence before they can say it conclusively.
Timing of sex to coincide with ovulation can be discussed with a healthcare provider to increase the chance of getting pregnant while reducing the risk of passing on the virus.
With the most recent advancements in pre-exposure prophylaxis PrEP and post-exposure prophylaxis PEP , trials have found that HIV transmission to a negative partner is unlikely if a stable undetectable load is maintained. Speak to your treating doctor if you would like to explore these newer prevention drugs. Speak to your HIV doctor or fertility specialist to find out what options you and your partner have.
You can improve your chances of becoming pregnant by artificially inseminating at the most fertile time of your menstrual cycle. Learning about fertility awareness will help you to know when you are most likely to conceive. A doctor, sexual health nurse, or fertility specialist can help you learn to recognise your fertile time of the month.
If the father is on effective treatment and has an undetectable viral load, there is effectively no risk of HIV transmission. If both partners are on treatment, the risk of either partner transmitting HIV to their baby is almost zero.
If you are a seroconcordant couple and you are thinking of becoming pregnant it is important that you speak with an obstetrician and an HIV specialist to minimise the risk of transmitting HIV to your baby. Talk to your doctor about your treatment. It is important to know that not all antiretroviral medications are safe during pregnancy, or some small treatment changes may be required. Pregnancy can be relatively safe for both a mother living with HIV and her baby — as long as HIV transmission reduction strategies are followed.
Ways to reduce the risk of transmission include:. Being on treatment and under the medical care of their HIV specialist and obstetrician, today in Australia women with HIV can give birth vaginally or by caesarean section. Mothers who are HIV positive and have a detectable viral load should formula feed their babies, as breast milk can contain and therefore transmit HIV. Women can feel pressured to breastfeed and some women can feel grief about not being able to breastfeed.
It is important that women living with HIV have the opportunity to speak to supportive counsellors or other positive women who can give helpful advice and support. Women living with HIV do not need to disclose their HIV status or justify their reason for not breastfeeding to every nurse, midwife, lactation consultant or doula, or during breast feeding education. All babies born to women living with HIV will receive antiretroviral treatment for a four to six week period after birth.
This treatment is known as PEP, or post-exposure prophylaxis, and significantly decreases the chance of the infant acquiring HIV.
Testing of the baby will involve a combination of antibody and PCR polymerase chain reaction tests. It is important that babies exposed to antiretroviral medication continue to be monitored. They are generally considered HIV negative by three months of age if not breastfed. With the excellent health care available in Victoria, the mother-to-child HIV transmission rate is almost zero.
However, in the very rare case that your baby may be HIV positive, there are many supportive professionals and organisations that can help and who know it may be a distressing time for you.
Medical care for babies with HIV is highly specialised. Early diagnosis means that a baby can begin effective treatment and have every chance for a long, healthy life. If you decide not to get pregnant because you or your partner have HIV, there are other ways in which you can become a parent. Options such as foster care , permanent care and adoption may also be explored.
Surrogacy is an option for some women, however it is complex and has very specific Victorian guidelines. Although with medical advances people living with HIV today live full, healthy lives, HIV in some people can lead to illness at some time in the future.
Any kind of chronic illness of one partner can be a challenge and sometimes families may need extra support. There are many helpful, supportive organisations that can assist you. The following content is displayed as Tabs. Once you have activated a link navigate to the end of the list to view its associated content. The activated link is defined as Active Tab.
Safe sex is sexual contact that doesn't involve the exchange of semen, vaginal fluids or blood between partners Many people with genital herpes are not aware that they have the infection, because they have no symptoms Gonorrhoea, also spelt gonorrhea, affects both men and women and is transmitted during sex, it may lead to infertility in women if left untreated Hepatitis B is a viral infection that affects the liver and can lead to serious illness or death Women living with human immunodeficiency virus HIV , or women whose partner is HIV-positive, may wish to have children but feel concerned about the risk of transmission of the virus to themselves if Molluscum contagiosum can be mistaken for genital warts or pimples, check with your doctor for an accurate diagnosis Salpingitis is one of the most common causes of female infertility and may permanently damage the fallopian tubes If you are infected with syphilis and do not seek treatment, you can remain infectious for up to two years In Australia, HIV is most commonly spread when having sex without a condom and when sharing needles and other injecting equipment HIV transmission can occur from men to women and from women to men as well as between men who have sex with men People with HIV or hepatitis B or C participate in a wide range of sports without restrictions, and the risk of transmission to another player is extremely small This page has been produced in consultation with and approved by: Thorne Harbour Health.
Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website.
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HIV and Pregnancy
HIV medicines are called antiretrovirals. Most HIV medicines are safe to use during pregnancy. In general, pregnant women with HIV can use the same HIV regimens recommended for non-pregnant adults— unless the risk of any known side effects to a pregnant woman or her baby outweighs the benefits of a regimen.
As a result, a better understanding of the fertility-related intentions and desires of HIV-positive individuals, as well as advancing knowledge regarding reproductive technologies, now offer the hope of parenthood to childless couples. Significant numbers of people with HIV intend to have children. Yet while many women and men with HIV desire children, fertility and conception issues may complicate the realization of this dream. In studies done in sub-Saharan Africa, behaviors that have been largely influenced by AIDS education, such as increased condom use, delayed onset of sexual relations, older age at first union, and fewer premarital sexual relations, have driven down fertility rates.
Can HIV be passed to an unborn baby in pregnancy or through breastfeeding?
Mothers with higher viral loads are more likely to infect their babies. The baby is more likely to be infected if the delivery takes a long time. To reduce this risk, some couples have used sperm washing and artificial insemination. What if the father is infected with HIV? Recent studies have shown that it is possible to "wash" the sperm of an HIV-infected man so that it can be used to fertilize a woman and produce a healthy baby. These procedures are effective. However, they are very expensive and not easily available. ART is becoming more available throughout the world.
How to become pregnant when one partner is HIV positive and the other is HIV negative
Victorian government portal for older people, with information about government and community services and programs. Type a minimum of three characters then press UP or DOWN on the keyboard to navigate the autocompleted search results. Women living with human immunodeficiency virus HIV in Australia, or women whose partner is HIV-positive, may wish to have children but feel concerned about the risk of transmission of the virus to themselves if their partner is HIV-positive or to the baby. If you are living with HIV or your partner is HIV-positive, you can plan pregnancy or explore other ways to have children, depending on your wishes. Talk with an HIV specialist doctor before you become pregnant.
Visit coronavirus. An HIV-positive mother can transmit HIV to her baby in during pregnancy, childbirth also called labor and delivery , or breastfeeding. Women who are pregnant or are planning a pregnancy should get tested for HIV as early as possible. Women in their third trimester should be tested again if they engage in behaviors that put them at risk for HIV.
Supporting HIV-Affected Couples Trying to Conceive
She currently works on research funded by the Australian Government. A new pill could enable people living with HIV to conceive children through sex without risking the health of their HIV-negative partner. HIV and pregnancy is not a topic we hear a lot about in Australia.
A pilot study identifies a safe, effective strategy to help women with HIV have children in low-resource countries. Women with HIV were once advised against having children for fear that the infection could be passed on to their babies. But medical advancements are not only allowing people with HIV to live longer and fuller lives — but to grow their families, too. Among 23 couples, in which the woman was HIV-positive and the man was not, timed vaginal insemination led to six live births without a case of HIV transmission. Mmeje conducted the study while at the University of California, San Francisco.
How to Get Pregnant If You or Your Partner Has HIV
Back to Pregnancy. But if a woman is receiving treatment for HIV during pregnancy and doesn't breastfeed her baby, it's possible to greatly reduce the risk of the baby getting HIV. All pregnant women in the UK are offered a blood test as part of their antenatal screening. Do not breastfeed your baby if you have HIV, as the virus can be transmitted through breast milk. Advances in treatment mean that a vaginal delivery shouldn't increase the risk of passing HIV to your baby if both of the following apply:. In some cases, doctors may recommend a planned caesarean section before going into labour to reduce the risk of passing on HIV.
There are several different options for reducing the chances of passing on HIV while trying to get pregnant. If you are a woman living with HIV and an HIV-negative man seeking information on getting pregnant, the options below will help you understand what might be the best for you, and prepare for discussions with your health care provider. For other options and more general information, you can return to the main " Getting Pregnant and HIV " page. Please see our fact sheet on Undetectable Equals Untransmittable for more information on this exciting development. Treating any sexually transmitted infections or diseases STIs or STDs before trying to get pregnant is a great step to lower your chances of passing HIV between partners.
HIV and Family Planning
There is good news for couples in this situation. Successful ART is as effective as consistent condom use in limiting transmission and this is recommended for safe conception in the UK. Importantly, this is provided:. Timed intercourse, when the women is most fertile, is recommended for conception in couples that generally prefer to use condoms as well as ART.
Preventing Mother-to-Child Transmission of HIV
Most of the advice for people with HIV is the same as it would be for anyone else thinking about having a baby. Some extra steps are necessary though to reduce the likelihood of HIV being passed on. This page takes you through the things to consider when having a baby in the UK.
All A-Z health topics. View all pages in this section. All women should be in the best health possible before becoming pregnant. A diagnosis of HIV does not mean you can't have children.
Information for pregnant women who have HIV
Fertility, Conception and HIV