Contents:
- Medical Video: C-section (Cesarean Delivery)
- Get to know HIV / AIDS in pregnant women
- HIV positive pregnant women should have a normal or caesarean delivery?
Medical Video: C-section (Cesarean Delivery)
If during pregnancy the mother is diagnosed positive with HIV, there are various things that must be considered so that the entire pregnancy until the delivery process remains smooth. Well, one of the things that most makes a prospective mother and father worried is maybe the birth process later. Do you think that HIV-positive pregnant women have to give birth by caesarean section or can have a normal delivery?Check out the full review of the following labor issues for pregnant women with HIV.
Get to know HIV / AIDS in pregnant women
Human immunodeficiency virus or HIV is a virus that causes AIDS. This disease can affect anyone, including pregnant women.
Well, babies conceived by HIV-positive mothers can also get it. Whether during pregnancy, labor, or when breastfeeding. Therefore, doctors will usually provide special antiviral treatment with different types.
These drugs must always be consumed regularly, including a few moments before labor and at the time of delivery itself. This is because during labor, the baby is very susceptible to contracting the virus from the mother.
HIV positive pregnant women should have a normal or caesarean delivery?
Some say, HIV positive pregnant women should give birth by caesarean section because it is safer. In fact, pregnant women with HIV / AIDS still have the opportunity to give birth normally, namely through the vagina.
If pregnant women want to give birth normally, there are conditions that must be met first. The conditions include:
- Have taken antiviral drugs since the age of 14 weeks or less.
- Condition viral load less than 10,000 copies / ml. Viral load itself namely number of virus particles in 1 ml or 1 cc of blood. The more the number of virus particles in the blood means the higher your risk of transmitting the virus and experiencing HIV complications.
During a normal delivery, the mother gives birth with viral load the high is usually given an infusion containing zidovudine medication. However, your birth plan can still change depending on the condition of the body of the mother and baby.
You should also discuss this option with an obstetrician, midwife, and family. The reason is, most doctors will advise mothers to undergo caesarean delivery if the numbers viral load-it is above 4,000 copies / ml.
According to various studies, birth by caesarean section can indeed reduce the risk of transmission of HIV / AIDS from mother to baby during labor. Especially if viral load mothers before labor are considered high.
Based on data obtained from American College of Obstetricians and Gynecologistscesarean section is recommended to be done before pregnancy is 39 weeks old. Whereas in pregnant women with HIV, it is recommended to have a caesarean section at 38 weeks gestation.
In addition, caesarean section can also be given antibiotics to prevent postpartum infections in mothers with HIV. This is because HIV positive women have a weakened immune system which is more susceptible to infection. This antibiotic can be given before surgery is carried out and afterwards.
