|is Mother to child trasmission possible even under ARV?
May 31, 2012
My HIV + wife was under ARVs while preg. The delivery was by ceserian section. Continued taking the ARVs together with the child while breastfeeding. After 7 days the breastfeeding was stopped due to insufficient milk from the mother.ARVs were stopped 3days later after starting artificial milk.
Two months later the child started to develop recurence hihg fever, chest tightness and dry coughing.
Now 4months the baby boy is hospitalized from very serious above condition. HIV test shows + reaction
Is crosstramission possible even when the mother started taking ARVs while 3months preg? Though under antibiotics will the child survive? What is your advise to the life of the child?
| Response from Dr. Wohl
It is important to understand what test was used to determine the HIV status of the child. HIV antibodies from a mother can be found in newborn blood for months and does not reflect infection. These antibodies eventually disappear, typically by a year after birth.
So, if an antibody test was done, it may not indicate the child is HIV infected. A special test called a PCR or viral load is used in the US and Europe to look for the actual virus. If that is positive, then there is true infection. If no viral load test is available then repeat testing for HIV antibodies is recommended out to a year. If it remains positive, then infection is diagnosed.
Meanwhile, as the child is ill, it is best to assume that the baby is HIV+ and treat accordingly.
IF the child is truly infected this could have been during breastfeeding despite ARVs. Also, while ARVS before, during and after birth reduce the risk of transmission significantly, it is not absolute and some transmission remains possible.
Hopefully, your doctors are knowledgable and can determine if HIV is really present and how to best treat regardless of HIV status. Good luck. DW
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.