Patient Education

HIV & Your Pregnancy

What you need to know — and why there is reason for hope


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The Bottom Line
>99%
of babies born to mothers with HIV — with treatment — will not have HIV

With proper medical care, the risk of passing HIV to your baby can be reduced to less than 1%.

Understanding the Risk

How HIV Can Be Passed to a Baby

🤰
During Pregnancy
🏥
During Labor & Delivery
🍼
Through Breastfeeding

Treatment dramatically reduces all three risks.

Why Treatment Matters

Transmission Risk: With vs. Without Treatment

Scenario Transmission Risk
No treatment 15 – 30 out of 100 babies
Treatment started in pregnancy 1 – 2 out of 100 babies
Undetectable viral load at delivery <1 out of 100 babies
Your Treatment

Antiretroviral Therapy (ART)

ART is a combination of medicines that control HIV in your body.

Lowers your viral load
Keeps your immune system strong
Protects your baby

Most HIV medicines are safe during pregnancy. Your doctor will choose the right combination for you.

Your Goal

Undetectable = Untransmittable

"Viral load" is the amount of HIV in your blood.


U = U

When your viral load is undetectable, the risk of passing HIV to your baby is essentially zero.

Your Pregnancy Journey

What to Expect at Prenatal Visits

Viral Load Check Every 1 – 3 months throughout pregnancy
Medicine Review Confirm ART is working and well-tolerated
Coordinated Care Your OB and HIV specialist work together as a team
Delivery Planning Finalized based on your viral load near delivery
Staying on Track

Take Your Medicine Every Day

💊

Do not stop taking your HIV medicines during pregnancy — even if you feel well.

Your medicines protect both you and your baby.


The best protection comes from starting ART before or as early as possible in pregnancy.

Planning for Delivery

Your Delivery Plan

Viral Load < 1,000 copies/mL

Vaginal Delivery

Usually safe and recommended when viral load is well controlled.

Viral Load ≥ 1,000 copies/mL

Scheduled C-Section

Recommended at 38 weeks. IV zidovudine (AZT) given during delivery for added protection.

After Your Baby Is Born

Your Baby's First Weeks

1
HIV medicine started within 6 hours of birth for best protection
2
Baby takes medicine for 4 – 6 weeks (sometimes longer)
3
HIV tests at scheduled intervals to confirm baby is HIV-negative
4
Close follow-up with a pediatrician experienced in HIV-exposed infants
Feeding Your Baby

Infant Feeding Recommendation

🍶
Formula Feeding

Recommended in the United States — completely eliminates HIV transmission through milk

🤱
Breastfeeding

Not recommended in the U.S. — HIV can be passed through breast milk even with undetectable viral load


Your care team will support your feeding decision and provide resources.

Summary

Key Takeaways

💊

Take Your Medicine

Every day, as prescribed — this is the most important step.

📅

Attend All Visits

Regular monitoring keeps you and your baby safe.

🤝

Partner with Your Team

Your OB and HIV specialist are here to support you.

🎯

Goal: Undetectable

U = U — undetectable viral load means near-zero transmission risk.

👶

Your Baby Can Be Healthy

With treatment, >99% of babies will not have HIV.

💬

Ask Questions

No question is too small. We are here for you.

💬

Questions & Discussion


We are here to support you every step of the way.

Please ask us anything — no question is too small.

Your OB Provider
HIV Specialist
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