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HIV and Pregnancy: Preventing Transmission to the Child (Discuss strategies for preventing mother-to-child transmission of HIV)

Preventing Mother-to-Child Transmission of HIV (PMTCT)

Significant advancements in medical care have dramatically reduced the risk of transmitting HIV from mother to child. Here are key strategies for PMTCT:  

  • Early HIV Testing for Pregnant Women:
    • All pregnant women should be routinely tested for HIV as part of their prenatal care.  
    • Early diagnosis allows for prompt initiation of treatment and interventions to prevent transmission.  
  • Antiretroviral Therapy (ART) for the Mother:
    • If a pregnant woman is HIV-positive, ART is crucial for both her health and to prevent transmission to her baby.  
    • ART should be initiated as soon as possible during pregnancy and continued throughout pregnancy, childbirth, and postpartum.  
    • Adherence to ART is essential for its effectiveness.  
  • Medications for the Infant:
    • In addition to maternal ART, infants born to HIV-positive mothers receive antiretroviral medications as a preventive measure.  
    • This medication is typically given for 4-6 weeks after birth.  
  • Cesarean Section: In some cases, a planned cesarean section may be recommended to reduce the risk of HIV transmission during childbirth.
  • Breastfeeding Considerations:
    • If the mother is on effective ART and has an undetectable viral load, breastfeeding may be an option.
    • However, in some cases, formula feeding may be recommended to completely eliminate the risk of HIV transmission through breast milk.

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