Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
Read Now: TheBodyPRO.com Covers AIDS 2014
   
Ask the Experts About

Choosing Your MedsChoosing Your Meds
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Treatment for HIVpositive pregnant women
Apr 30, 2001

What is treatment for HIV positive pregnant woman?

Response from Dr. Pavia

There are at least three issues for an HIV infected pregnant woman. First, what is the best treatment for her? Second, what is the best treatment for preventing infection of the baby she is carrying. Third, does she want to consider having a planned Caesarian section, which in some settings offers additional protection.

The best resource is the PHS guidelines for prevention of perinatal transmission, available at www.hivatis.org.

Here are a few key points. According to the latest guidelines, any woman with a CD4 count of less than 350 or a viral load of 50,000 should plan on beginning treatment, once issues of adherence are addressed, regardless of whether or not she is pregnant. We know that treatment with combination therapy, particularly triple combination therapy, is very effective at reducing the risk of infection in the baby. With triple therapy, if the mother's viral load falls to below the limits of detection, the chance of the baby being infected falls to less than 1 in 100. Without any treatment, about 1 in 4 babies will be infected. For this reason, I think a pregnant HIV infected woman should also consider triple therapy if she would not ordinarily need to start it based on a higher CD4 count.

Rather than go through all of the information, let me just suggest that there are huge advances in the treatment of HIV infected pregnant women. It is vital, in my opinion, that the woman seek the care of someone with expertise and comfort in managing pregnancy in HIV. In some areas, there are one or two OB-GYNS with that expertise. However,most of the time you will want an HIV doc to help the OB with the mangagement.

Good luck

ATP



Previous
gonnorhea
Next
Undetectable, good C4T count, Dr. wants to change regiment.

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

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.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement