Tuesday, February 8, 2011

Pregnancy and HIV

Pregnancy and HIV

The Centers for Disease Control and Prevention (CDC) recommends that pregnant women and newborns at high risk for HIV be tested.

  • Without medical treatment, a mother infected with HIV has about a 25% chance of having a baby born with HIV.

  • Medical treatment with AZT during pregnancy and labor has been shown to dramatically reduce the risk of transmission of HIV from 25% to 8%.

  • The standard ELISA or Western blot antibody test may not be appropriate for a pregnant woman who has had recent exposure to HIV.

    • If she is trying to decide whether to continue or terminate her pregnancy, she cannot afford the 3-6 month waiting period the antibody test requires.

    • In such cases, the viral load test is usually ordered by a physician to help the woman make more informed decisions including whether to start prenatal antiviral therapy to reduce mother-to-child HIV transmission

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