Feb16
HIV /AIDS CAN THEY BIRTH TO NEGATIVE BABY ?-MODERN VIEWS AS PER CD4 COUNT AND VIRAL LOAD : MOTHER TO CHILD TRANS MISSION : BREAST FEEDING
Posted by Dr. Dewat Ram Nakipuria on Sunday, 16th February 2014
HIV /AIDS CAN THEY BIRTH TO NEGATIVE BABY ?-MODERN VIEWS AS PER CD4 COUNT AND VIRAL LOAD : MOTHER TO CHILD TRANS MISSION : BREAST FEEDINGPROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
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HIV /AIDS MANY COUPLES ASK ME QUESTION WHETHER THEY CAN PALN FOR PREGNANCY AND IF PREGNANCY TAKEN THEN THEIR CHANCE OF GETTING NEGATIVE BABY AS NO ONE WANTS THEIR CHILD IS POSITIVE.
MODERN ARV MEDICINES ARE LESS TOXIC AND IT IS RULE THT ONCE A MOTHER EITHER DETECTED DURING PREGNANCY OR LABOR HIV ARV SHOULD BE STARTED ONCE SHE IS POSITIVE IF HER VIRRAL LOAD IS HIGH OR CD4 COUNT IS LOW AND HER PARTNER IS ALSO HIV POSITIVE HER CHANCE OF GETTING POSITIVE CHILD IS VERY HIGH.
BUT IF HER VIRAL LOAD IS LOW BELOW 50-100 OR EVEN 1000 COPIES /ML OF BLOOD AND CD4 COUNT ABOVE 500 THEN CHANCE OF GETTING BABY NEGATIVE IS VERY HIFH AND SHE SHOULD BE STRICTLY ON MULTIPLE DRUG HAART OR ARV MEDICINES AS ARV ONCE STOPPED VIRAL LOAD RAISES VERY HIGH IN NO TIME
BUT IT IS NOT 100% TRUE ALSO EVEN AT ANY CD4 COUNT LEVEL OR ANY VIRAL LOAD SHE MAY GIVE BIRTH TO POSITIVE BABY BUT PERCENTAGE WISE SUCH CASES ARE MINIMAL.
SO IF PLANNING FOR PREGNANCY IF BOTH HUSBAND WIFE POSITIVE THEN BOTH SHOULD TAKE ARV MAKE VIRAL LOAD VERY LOW OR ONE POSITIVE IF FEMALE THEN SHE HAS TO MAKE VIRAL LOAD MINIMAL OR VICE VERSA AND SUCH COUPLES ALLOWED SEX USUALLY WITH CONDOM HOW MUCH LESS MAY BE VIRAL LOAD BUT ONCE -OR TWICE SEX ALLOWED WITHOUT CONDOM TO HAVE PREGNANCY BUT AFTER CONCEPTION AGAIN CONDOM HAS TO BE USED.
EVEN AFTER BIRTH IF CHILD NEGATIVE AS DETECTED BY -24 ANTIGEN OR PCR VIRAL LOAD THEN CHILD MAY BE ON PROPHYLACTIC ARV MEDICINES OR AVOID BREAST MIL OR DRINK BOILED MILK FROM MOTHER AS BREAST MILK CAN SPREAD HIV SAME WAY OTHER CONTACTS WHERE CHILD BLOOD MIXED WITH MOTHER BLOOD SHOULD BE AVOIDED.
SO NOW HIV PERSONS CAN PLAN PREGNANCY EASILY AND HAVE A NEGATIVE CHILDREN WITH REGULAR MEDICINES AND LOW VIRAL LOAD