low CD4 count
Dec 4, 2012
My partner who is HIV positive has just discovered she is 2 moths pregnant. WE wen for blood count and the results are cd4 of 173 and Viral load of 13,000. She is currently not on any medication and has never had any health problems. What do you think should be the first step we should take to protect the baby. We have been given a doctors appointment in 30 days. I am on Atripla and have undetectable viral load.
Response from Dr. Henry
There is some risk for development of AIDS related illnesses (particularly a type of pneumonia known as PCP that can be prevented with an inexpensive oral antibiotic) with a CD4 count < 200 so I would respectfully request an earlier appointment if possible. As far as the pregnancy goes typically I would recommend waiting until the second trimester (there the timing of your appointment is fine) then would initiate antiretroviral therapy both to protect your partners health and prevent transmission of HIV to the baby!! KH
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