HIV in Pregnancy
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The risk of mother-to-child transmission of human immunodeficiency virus (HIV) during pregnancy, delivery, and breastfeeding is as high as 25-30% in the absence of treatment. With the implementation of HIV testing, counseling, antiretroviral medication, delivery by cesarean section prior to onset of labor, and discouraging breastfeeding, vertical transmission has decreased to less than 2% in the United States
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@rajesh Preliminary data suggest that women with HIV may suffer from subfertility. Conception in couples who have never conceived may occur in a median of 6 months with 2 acts of intercourse during the ovulatory period of the cycle. With each act, the risk of sexual transmission must be considered even in the presence of an undetectable viral load. In couples planning a pregnancy where only the female is HIV-infected, assisted insemination at home or with a treatment provider with her partner’s semen is the safest conception option after ART has been initiated and maximum viral suppression has been attained.