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8, December, 2019

Having a baby living with HIV is a serious step to take. reissued and expanded

HIV

A few hours after publishing this text a friend warned me of something he called "phonetic dissonance (cacophony in fact)".

For reading the title gives the impression that we would be precluding the work of bringing a child living with HIV to life!

Far from me such a lecture! Even because just thinking about it reminds me of that little girl.

And that sore cry, like asking why. Life in those days had changed a lot for me.

After amazement and immediate shock, I came to value life more!

Like she was in Technicolor and Dolby Surround!

But this is a case for another text, which I intend to write in the coming days.

It is possible to have a baby and bring it to birth with a partner living with HIV and not to generate contagion

To establish what I really meant, I wanted to show that if you, or someone you know, is living with HIV, is it possible to live with HIV and raise a child without HIV! I think that in itself is a great blessing, a fantastic breakthrough in science, and yes, despite the regrets, and undermining my problems I go on believing that everything is as God desires!

Based on this thought, after watching “the cabin” I understood a few more things and, yes, fortunately, I could go see my father before he left this world, and give him the peace he needed, at least with relation to me!

And that's it. It is being able to live with HIV and bring to birth a child without the blessed HIV!

You see, giving birth to a baby is always a big responsibility. But when you're like me and Mara, who live with HIV, this is a life project, a very ambitious step We chose not to give!

Notice, see, however, Santos spent four years without a single baby living with HIV coming to light, and what's more, given the complete lack of resources, Cuba was the first country (an islet) to have vertical transmission considered eradicated from vertical transmission.

That is, without the birth of babies with HIV.

Having a baby living with HIV needs love and care!

And so, it is necessary to keep in mind these three basic aspects of this "endeavor", so to speak!

  1. People living with HIV can give birth without passing HIV on to their babies.
  2. This way, your conception options will depend on your health as well as the health and serological status of your partner..
  3. Your viral load may affect your conception and delivery options.
Having a baby living with HIV
Generating a life is a unique experience! No other woman will know how you feel or feel! And you will never have really known what the others have experienced. I, as a man, envy them very much

It is true that people living with HIV can give birth to HIV-negative babies forever, but in the past, the early nineties, until the 'two thousand and so' years this was quite different, more relied on God's Hand, though science could already help.

These days, most of the advice for people living with HIV is the same as for anyone thinking of having a baby.

However, some extra steps are needed to reduce the likelihood of HIV transmission.

This post seeks, based on information from the Aidsmap, a UK website shows what you should consider when having a baby in the UK, however the guidelines are similar to those living here in the UK. Brasil!

Because from conception to baby feeding, it is important to keep your healthcare team well informed to ensure that you can receive the best and most specific advice that will bring you the best results for your baby!

Undetectable viral load is condition “sine qua non ”(indispensable) to have a baby living with HIV

Pregnancy while HIV positive
External care is important, it is worth saying. But taking care of yourself, and your health, is also taking care of the baby!
When a person is on HIV treatment, with a Undetectable viral load, the risk of HIV transmission to the baby is only 0,1% (or one in a thousand).

Between 2012 and 2014 in the United Kingdom, only 0,3% (three in a thousand) of people with HIV (including people with higher viral load) transmitted HIV to their baby. In Santos, we have been like this for over four years!

The latest design news and research (another site)

Advice Needs

In thinking about conceiving, the advice will depend on the circumstances of each individual. The advice will be based on your overall health; if your viral load; what if your partner has HIV.

If you are not already taking anti-HIV medication, you will be advised to do so. I overwrote this part of the text because START study completely changed treatment guidelines!

HIV can be transmitted during pregnancy and birth; Having an undetectable viral load can help prevent this!

If you plan to get pregnant and are already taking anti-HIV medicationtalking to your health care team. They will give you a clearer understanding of the current medication.

And if it is still the best option during pregnancy. In the UK, if your current anti-HIV medicine is effective, you will probably be advised to continue taking it. In Brazil too!

How would conception occur in a serodivergent couple?How can we conceive if one of us is HIV negative and living with HIV?

When a person living with HIV has an undetectable viral load, there is no risk of HIV transmission during sex. As long as your partner living with HIV has an undetectable viral load and none of you have sexually transmitted infections (STIs), sex without a condom can be good. eventually.

Repeated exposures can lead to contagion!

If you or your partner have a detectable viral load, it is important to discuss design options that reduce or remove the risk of transmission during sex for you / your partner and baby.

Before you decide not to use condoms, ask your HIV healthcare team for advice so they can confirm what would work best for you.

PrEP, PEP, TasP I = ​​I?

Having a baby living with HIV is a big responsibility.
When Mara and I finally decided to live together, we weren't sure if we were going too far. Things had improved, life expectancy was a little longer. But…. But, friends, we didn't want to risk putting a potential orphan on this ridiculous planetoid! We made mistakes! But….
Fear and reasoning were well founded for those days!

This may include the HIV negative partner who is taking PrEP. To PrEP reduce HIV transmission is safe during pregnancy and breastfeeding.

Everyone planning a pregnancy - with or without HIV - is advised to take a daily folic acid supplement while trying to get pregnant and in the first 12 weeks of pregnancy.

Folic acid (vitamin B9) helps the body's cells to develop. It's hard to get enough just through dieting.

HIV treatment to have a baby living with HIV

All pregnant women living with HIV are advised to start taking medicines by 24 week of pregnancy if they are not already. This is because an undetectable viral load prevents transmission during conception, pregnancy and birth.

Planning the delivery

If you have one Undetectable viral load At week 36 of pregnancy, the delivery options are the same as anyone who does not have HIV. If there are no other considerations, having a vaginal birth is an option for you. You will be advised to give birth in a facility that can provide the right tests and treatment for your child.

If your viral load is high (more than 1.000 copies), your doctor will probably recommend a planned cesarean section. A caesarean section (also known as a caesarean section) is an operation to deliver a baby that involves cutting a person's stomach and uterus. This prevents contact with blood and other fluids that a baby may come into contact with during vaginal delivery. A caesarean section reduces the risk of HIV transmission.

Regardless of your viral load, a person with HIV may have a cesarean section for other medical reasons.

Medication for your baby

Your baby will need to take anti-HIV medications for some time after birth. This will be in liquid form. This does not mean that your baby has HIV.

The time the baby will need to take the medication will depend on its viral load. If you are undetectable during pregnancy, your baby will be taking medicine for two weeks. If you are detectable, this can be extended to four weeks.

In your baby's early years, HIV testing will be done several times: right after birth; in six weeks; at 12 weeks; and at 18 months (final anti-HIV antibody test).

Check CD4 periodically does not hurt a person with HIV

If these tests are negative and you have never breastfed, you will be sure that your baby has no HIV.

Feeding Your Baby While Living With HIV

Renata Cholbi
Renata Cholbi literally rained down on supporting HIV-positive mothers. It all started for her on Christmas one. She saw that her son had much more than she needed and began her work. Too bad we could never have found the opportunity to talk in person, and besides Mara's untranslatable strength to support me, Renata did a lot for me, giving me courage!
In the United Kingdom (as in other high-income countries), it is advisable not to breastfeed your baby. The best way to ensure that HIV is not transmitted is through food formulabecause there is no risk of HIV transmission.

Although HIV is an important factor to consider, it is not the only one.

You may consider breastfeeding for other reasons.

If you are considering breastfeeding, you should have an undetectable viral load and maintain regular contact with your health care team.

Breastfeeding while living with HIV is much more complicated!

Before breastfeeding, it is important to discuss this with them, their doctors. You must stop the breast-feeding se some occur in the following situations:

  • your HIV becomes detectable; (this risk is so serious that I advise against breastfeeding)
  • you or your baby have tummy problems;
  • your breasts and / or nipples show signs of infection (cracked, sore or bleeding nipples).

This will help reduce the transmission of HIV during breastfeeding, but the most effective way to remove all scratches It is not breastfeeding.

Having a baby, generating and supporting your body and someone else's body that is expanding within you is unique! Only You will know what you experienced! And what envy I feel about you !!!!!

From conception to pregnancy, childbirth and infant feeding, your journey will be unique to you.

You must get the best support and medical attention for you and your baby. Keeping in touch with your healthcare team will help you achieve this.

Translated by Cláudio Souza in 05 of November of 2019 of the original in Having a baby when you are living with HIV Written by Bakita Kasadha

2022 scheduled for November review It is scheduled for review in 2022 in November.

About Santos City, she was not notified of births without HIV seropositivity in 2013.

Read this please:

Four years ago the city of Santos, on the coast of São Paulo, does not report any cases of mother-to-child HIV infection (called vertical transmission) among pregnant women who attend prenatal care specialized in the city health network. The city conducts a program of clinical and psychosocial support that begins with early diagnosis. Then she goes through the follow-up during pregnancy, occurs at birth and follows after the birth of the babies.

Pregnant women who seek the public network to perform pregnancy monitoring go through the basic unit or family health.

And testing for HIV is a legal requirement.

Is your right!

Demand this from your doctor!

Getting pregnant and raising a child without HIV is possible!

Is important!

And this must be done already at the first consultation is asked to examine sexually transmitted diseases. When HIV is detected, she is referred for antenatal care at the Integrated Child Care Section (SENIC), where she is attended by a multidisciplinary team. Attention is also directed to the partner, who is encouraged to undergo examination and treatment if necessary and to follow prenatal care. And it's a good time to take an exam to see your viral load.

Keep in mind that it is possible to grow old when you have HIV.

There is life with HIV

According to information from the city, some steps are decisive to reduce the chance of transmission of the virus to the baby. The pregnant woman should take antiretroviral (medicine to treat and try to eliminate the virus); specific medication should be given at the time of delivery; The baby should take antiretrorival syrup for the first 42 days of life and the mother cannot breastfeed. Medication and milk powder are provided free of charge by the city. Ten women are currently being followed. The last case of vertical transmission recorded among pregnant women accompanied by the unit was four years ago, when one of the patients did not follow the medical recommendations.

By yes, by no, knowledge does not occupy space, read about oral sex and HIV : )

I have been keeping this blog, almost without help, since the year 2000! we are at the end of 2019

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What comes after the picture is not for you to think:
"Wow! How he suffered !.
It is for you to get it in your head that you can go through even more than that!
When I write that there is life with HIV is this and much more that I speak !!!

Despite the HIV infection, and even rarely, I can smile!

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