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https://aidsinfo.nih.gov/guidelines/html/3/perinatal/182/transmission-and-mode-of-delivery
Dec 24, 2019 · Operative Vaginal Delivery. In the past, before data from the era of ART was available, HIV was considered a relative contraindication to operative vaginal delivery with forceps or vacuum device. Peters et al. reviewed the deliveries of 9,072 women living with HIV in the United Kingdom between 2008 and 2016.
https://www.uptodate.com/contents/hiv-and-pregnancy-beyond-the-basics
Delivery method — The safest way for women with HIV to deliver a baby (ie, by vaginal or cesarean delivery), depends upon her HIV viral load during pregnancy. In general, a vaginal delivery is preferred for the safety of both mother and infant if the risk of transmission of …
https://aidsinfo.nih.gov/contentfiles/hivduringpregnancy_cbrochure_en.pdf
HIV During Pregnancy, Labor and Delivery, and After Birth This series of fact sheets is intended for women who are HIV positive and pregnant or have recently given birth. These fact sheets describe the steps an HIV positive pregnant woman can take to preserve her health and prevent transmission of …
http://i-base.info/qa/6171
Jan 04, 2016 · The second factor is what the treatment guidelines in your country recommend.In your question, you did not specify where you live. In the UK, the BHIVA [British HIV Association] treatment guidelines recommend vaginal delivery if a woman has an undetectable viral load [under 50 copies], at around week 36.
https://www.seaetc.com/wp-content/uploads/2018/01/Labor-Delivery-Management-for-Women-Living-with-HIV.pdf
cesarean delivery or induction is indicated, it should be performed at the standard time for obstetrical indications. • In women with an HIV RNA >1,000 copies/mL or unknown HIV RNA level who present in spontaneous labor or with ruptured membranes, there is insufficient evidence to determine whether cesarean reduces the risk of perinatal HIV
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314337/
The lower genital tract is the initial site of insult for HIV infection during male-to-female sexual transmission. The advantages of vaginal delivery also hold true for HIV prevention strategies, such as the delivery of antiretrovirals.Author: Lindsay M Ferguson, Lisa Cencia Rohan
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723036/
Aug 01, 2019 · To date, incorporation of sustained-release multiparticulate drug delivery systems into vaginal HIV prevention formulations has been limited to liquid suspension , gel [55,56,57,58] and film [59,60,61] dosage forms, and have yet to be incorporated into solid vaginal inserts.Author: M. Melissa Peet, Vivek Agrahari, Sharon M. Anderson, Homaira Hanif, Onkar N. Singh, Andrea R. Thurma...
http://www.aidsmap.com/news/apr-2005/planned-vaginal-delivery-appears-safe-hiv-positive-pregnant-women-undetectable-viral
Apr 25, 2005 · Planned vaginal delivery appears to be a safe option for HIV-positive pregnant women with an undetectable viral load at the time of delivery, according to a poster presentation at the Eleventh Annual Conference of the British HIV Association in Dublin last week.
https://www.avert.org/sites/default/files/HIV%2C%20pregnancy%20%26%20childbirth.pdf
HIV, pregnancy and childbirth Without precautions HIV can be passed ... after delivery of your baby (in some settings) Your partner should also test for HIV, ... living with HIV give birth naturally (vaginal birth) unless there is another reason why this would be difficult.
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