There is no evidence that pregnancy, by itself, change the course of HIV disease. Similarly, the infection does not appear to change the way the pregnancy develops normally. However, if there are serious opportunistic infections during pregnancy they themselves can affect the course or prognosis of the baby. Finally, HIV does not appear to affect fetal development. None reported fetal malformations or other complications associated with this infection.
usually monitor women will be HIV positive during pregnancy, similar to other women, which are added Specific tests for the disease. We must take into account the peculiarities :
- The invasive tests such as amniocentesis (the introduction of a needle into the abdomen to reach the uterus and take samples of amniotic fluid surrounding the fetus, and allows us to determine the incidence of fetal malformations) may increase the risk of infection to the baby. Therefore, it should evaluate much of the risk / benefit to this test. The physician should clearly explain to the patient the chance of malformation exists and to what extent it is necessary to perform this test or there are other alternatives. In some cases it is desirable and will become, with a possible increased risk of infant infection.
- With the rest of invasive tests like blood umbilical cord or placenta samples same thing happens, so you have to make an accurate assessment of its indication.
- The rupture of the amniotic sac increases the risk of contagion. Should be avoided at the time of delivery. If it breaks early, you have to provoke a maximum of 4 hours.
When necessary tests done before we recommend an assessment of the mother's viral load is high and if you start treatment before being carried out to reduce the amount of virus that can pass the child. In general ANY of these tests is completely counter , but should be more rigorous in its indication in patients with HIV than in those who are not.
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