What to Do If You Are Diagnosed with HIV While Pregnant

From Trusted Resource for HIV

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What to Do If You Are Diagnosed with HIV While Pregnant

Being diagnosed with HIV during pregnancy can be a challenging experience, but with appropriate care and management, you can maintain your health and significantly reduce the risk of transmitting the virus to your baby. Here's a guide on what steps to take:

1. Seek Medical Care Immediately

- Contact a Healthcare Provider: As soon as you know your status, contact a healthcare provider who is experienced in managing HIV during pregnancy. Early and continuous prenatal care is crucial. - Specialist Referrals: Your healthcare provider may refer you to an HIV specialist or an obstetrician experienced with HIV-positive pregnancies.

2. Start Antiretroviral Therapy (ART)

- Begin Treatment Promptly: ART is vital in managing HIV and reducing viral load. Starting it early greatly reduces the risk of mother-to-child transmission. - Adherence is Key: Take your medications exactly as prescribed to maintain a low viral load. Consistent use of ART is critical for your health and the health of your baby.

3. Regular Monitoring and Testing

- Viral Load and CD4 Count Tests: Regular testing helps monitor your health and the effectiveness of the ART. - Prenatal Visits: Keep all scheduled prenatal appointments for ongoing assessment and management of both your and your baby’s health.

4. Healthy Lifestyle Choices

- Nutrition and Exercise: Follow a balanced diet and maintain a reasonable level of physical activity as recommended by your health provider. - Avoid Alcohol and Drugs: These substances can weaken your immune system and interfere with HIV treatment.

5. Consider Delivery Options

- Mode of Delivery: Your healthcare provider will discuss delivery options. A cesarean delivery is sometimes recommended if the viral load is high near the time of delivery. - ART During Labor: Intravenous ART might be administered during labor to further reduce the risk of transmission.

6. Plan for Infant Care Post-Delivery

- Infant ART: Your newborn may receive antiretroviral medications immediately after birth to protect against HIV. - Avoid Breastfeeding: In many settings, formula feeding is recommended to prevent postnatal transmission through breast milk. Consult with your provider about the best feeding options for your situation.

7. Receive Support and Counseling

- Emotional and Peer Support: Seek support from counseling services, HIV support groups, and peer networks. - Education: Educate yourself about HIV and pregnancy to make informed decisions about your health and your baby’s health.

8. Prepare for Pediatric Care

- HIV Testing for Your Baby: Your baby will need regular HIV testing after birth to ensure they remain HIV negative. - Follow-up Care: Maintain regular pediatric visits and follow the healthcare provider’s guidance for your baby's HIV testing and health care needs.

9. Protect Future Pregnancies

- Family Planning: Discuss future pregnancy plans with your healthcare team to ensure safe conception and healthy outcomes.

By closely collaborating with your healthcare team and adhering to the recommended steps above, you can pave the way for a healthy pregnancy and decrease the chances of passing HIV to your baby. Remember, many women living with HIV give birth to healthy, HIV-negative babies with proper care and treatment.

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