It is a tasteless misunderstanding that pregnant women who are Hiv-positive will automatically pass the disease to their babies. This is not true. Only one out of every three children born to Hiv-positive mothers will become infected with Hiv disease. In other words two out of every three babies will be born healthy.
The risk decreases significantly with less than 5% of babies become infected via their mothers with proper Pmtct programme. Pmtct is one of the most crucial issues in the current struggle against Hiv infection. Thousands of babies are becoming infected unnecessarily, causing much suffering and additional stretching small health facilities.
Hiv
It is therefore important for all women with Hiv disease who become pregnant to enroll in the Pmtct programme and cut the risk of transmitting the disease to their unborn children. If a woman does not know her status when she falls pregnant she should have an Hiv test. If she tests negative she can continue to make sure she stays negative by practising safe sex at all times. If she tests unavoidable she can enroll in the programme and find out how to protect her child from getting the disease. It is important that she continues to practise safe sex at all times too.
This will protect her partner if he is Hiv-negative. If he is also Hiv-positive it will protect her from being exposed to additional viruses.
How Hiv disease is passed from mum to baby There are three ways in which mother-to-child transmission of Hiv disease can occur:
-In the womb. Disease transmission seldom occurs this way as the baby is protected in a bag containing amniotic fluid and the mother's blood and baby's blood never come into direct contact
-During labour and delivery. The majority of babies (60-85%) are infected while or immediately after delivery. The risk of infection increases as soon as the waters break and when the afterbirth comes away from the womb
-After birth, straight through breastfeeding. Breastfeeding accounts for roughly 15% of mother-to-child transmission cases. This division is reduced if the mum breastfeeds exclusively and if she breastfeeds for a shorter period. The risk of transmission remains constant throughout the period of breastfeeding period; it is not higher at the beginning. The risk will growth to colse to 30% if a mum has been very recently infected, or if she has developed Hiv disease. This because the mum has a much higher viral load (number of viruses in her body) while the very early and late stages of Hiv infection. This means there will be more viruses present in the breast milk.
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