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HIV and pregnancy

Department of Primary Care and Population Sciences, Royal Free and University College Medical School, Hampstead, London NW3 2PF, UK. email: antonia_moore{at}yahoo.co.uk (corresponding author)

Sara Madge, GP Fellow HIVIAIDS

Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, UK.

Margaret A Johnson, Consultant Physician in Thoracic Medicine and HIVIAIDS

Royal Free Hospital, London, UK.

The number of HIV-positive heterosexuals in the UK is rising and there are increasing numbers of HIV-positive individuls wishing to start families. Without intervention, the risk of mother-to-child transmission (MTCT) of HIV is between 15-25%, yet with anti-retroviral therapy, elective caesarean section delivery and avoidance of breastfeeding this can be reduced to under 2%. It is, therefore, important that patients are aware of their HIV status and that obstetricians are aware of the advances in anti-retroviral therapy and other measures that can minimise the risk of HIV infection in the neonate.

Keywords Keywords / anti-retroviral therapy / conception / HIV / mother-to-child transmission / pregnancy