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HIV twin pregnancy
Jun 9, 2003

I've heard that it is more diffictult to prevent vertical transmission of HIV in an twin pregnancy. Is there really a greater chance for the baby's to be infected? Why is this so? What can be done to prevent this? Even after 26 weeks of pregnancy?

Response from Dr. Luzuriaga

The good news is that optimizing maternal care and the use of antivirals during pregnancy has been effective in preventing mother-to-child transmission in multiple pregnancies, as well as in single pregnancies. The earlier that the care begins, the better. However, it appears that most transmission occurs late in pregnancy or during delivery, so intervention even after the second trimester could be effective.


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