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Can I have a child with HIV?

Mother-to-child transmission is one of the three major ways of spreading AIDS, so many people think that it is better for women infected with AIDS not to have children, but according to the State Council's regulations on AIDS management, HIV-infected people have the right to go to school, to be employed, to get married and to have children.


In 2017, at the National Work Promotion Meeting on Prevention of Mother-to-Child Transmission of HIV, Syphilis and Hepatitis B held by the Department of Maternal and Child Health Services of the National Health and Family Planning Commission (NHFPC), Qin Geng, Director of the Department of Maternal and Child Health Services of the NHFPC, introduced that the prevention of mother-to-child transmission of HIV, syphilis, and Hepatitis B had been extended to the whole country since 2015, with the rate of maternal testing constantly increasing, and the comprehensive interventions being fully implemented. We have reason to believe that the risk of mother-to-child transmission will become lower and lower, as the probability of mother-to-child transmission is far lower in many healthcare organizations we know of.


In 2016, the national rate of mother-to-child transmission of HIV dropped to 5.7%, and new infections in children have decreased year by year. Considering the current situation of uneven medical counseling in China, under the guidance of formal medical institutions in large cities, the probability of mother-to-child transmission of HIV is below 2%, and if compliance is good, it basically will not be transmitted to the next generation.


If a male infected person has reproductive requirements, it is sufficient to achieve non-transmission to the female partner, as there is no father-to-child transmission. It is also not very difficult for a male infected person not to transmit HIV to a female, as there are reliable measures to achieve pregnancy without transmitting HIV through antiretroviral therapy under the supervision of a doctor and the use of pre- and post-exposure blocking prophylaxis. The difficulty, of course, is finding such a willing woman, all with her knowledge.

To realize such a wish, of course, we must work hard to improve ourselves, not to give up on ourselves, listen to the doctor's guidance, take active treatment, take medication and review on time, work hard, and give the best to ourselves and our families and society.

There are no technical barriers to having a healthy child, whether the woman is a carrier or the man is a carrier, or in a double-positive family, go to the CDC, where you'll be professionally instructed and monitored regularly until you have a child. The probability of a child being negative is very high, close to 100%.

But wait, the infected person is already with the disease body, life-long medication, and may even one day there will be a variety of complications, have a child will be very stressful, for the rich patient is okay, but for the general public I think it is still in the discretion, contact a infected person, he infected after his wife had to give him a child, and then they went to the hospital, the first child was born nine days dead, spent nearly 100,000 yuan! The first child died nine days after birth, at a cost of nearly 100,000 yuan, and was not willing to, the second slight polio, now six years old, some infected people themselves have low resistance, the children born instantly no hiv. will also be relatively weak.

Not to mention the fact that when he grows up, he will have to bear more than others, what other parents can give, or you can no longer give, because you will certainly be difficult to protect yourself, now the situation of taking medication for 20 years, although possible, but then you can ensure that you will not have other complications, you will become a burden to your child, how can you bear it in your heart, so my friend, have you thought about it?

First of all you are healthy can you accept a partner who carries the virus? Some are men and women friends confused infected, such people live their own happy life on it, some are blood or other ways unintentionally infected, the most aggravating, but their own life has been aggravating, in the absence of 100% certainty that can protect the baby why bother to let their babies suffer from aggravation and discrimination!

We know that AIDS (HIV) is transmitted through three ways: blood, mother-to-child, and sex.
Mother-to-child transmission (MTCT), which is the transmission of the virus from a pregnant woman infected with HIV (HIV) to her fetus or newborn through pregnancy, childbirth or breastfeeding.
Three routes of mother-to-child transmission of HIV:
Intrauterine infection during pregnancy: The HIV virus in the mother's body infects the fetus through the placenta.
Infection at delivery: HIV can be present in the mother's blood, amniotic fluid and vaginal secretions, and the fetus is infected by contact during delivery.
Infection through breastfeeding: HIV can be detected in the breast milk of HIV-infected mothers, and newborns are infected with the virus through breastfeeding.
In the case of mother-to-child transmission of AIDS, the infection rates for intrauterine, delivery, and breastfeeding are about 30%, 30%, and 40%, respectively (data from different studies vary). In China, mother-to-child transmission is the main way for children to get infected with HIV, and about 90% of sick children are infected through mother-to-child transmission. The rate of mother-to-child transmission of AIDS can reach 15-45% without early intervention for mother-to-child interruption of AIDS.
Early detection is the first step in PMTCT interventions
Prevention of mother-to-child transmission is key for mothers-to-be.
First of all, every man and woman who is going to get married, or a couple who is going to get pregnant should have a pre-marital and pre-pregnancy test to check for HIV, and if they are found to be positive, they can intervene to deal with the problem before they get pregnant.
Secondly, when you are pregnant, you should also have an HIV test. Now, when you go to the hospital after pregnancy to establish a maternal health book, the doctor will give every pregnant woman an HIV test.
What should a pregnant woman do if she is infected with HIV?
What if I get pregnant and then test and find out that I have HIV? Can I have this baby?
Every woman has the right to be a mom and you can voluntarily choose to have or not have this child.
For pregnant women who are infected with HIV, doctors will provide counseling and guidance on the risk of the child becoming infected, measures to prevent mother-to-child transmission and their effectiveness, etc., but the final decision on whether or not to have the child rests with the pregnant woman herself.
If the pregnant woman chooses to continue her pregnancy, then the Maternal and Child Health Hospitals and the receiving hospitals and the Jianzhu Health Centers (or Community Health Service Centers) will jointly help the pregnant woman to do a good job in the comprehensive interventions for the interruption of mother-to-child transmission, so as to minimize the risks and chances of the child being infected.
Mother-to-child transmission interventions:
① Take anti-HIV viral drugs under the supervision of a doctor. Antiretroviral therapy begins at 14 weeks of pregnancy (or earlier if HIV infection is detected after 14 weeks) and continues until after delivery. If breastfeeding is chosen, it is continuously applied until 1 week after cessation of breastfeeding. The earlier the medication is administered, the higher the success rate of blockade.
② Adopt safe methods of delivery and minimize injurious operations, including episiotomy, manual rupture of membranes, use of fetal head attractors or forceps, etc. HIV infection is not an indication for cesarean delivery.
(iii) On the issue of feeding, promote artificial feeding, avoid breastfeeding and eliminate mixed feeding. If breastfeeding is chosen, it should preferably be for a period of no more than six months, during which time breastfeeding should be discontinued if bleeding from the nipple, mastitis and other conditions occur, which increase the chance of HIV transmission to the baby by 3.55 times.
④ Infants should be started on antiviral drugs as soon as possible (within 6 to 12 hours) after birth. If the mother starts the medication during pregnancy, the infant should take the medication until 4-6 weeks after birth; if the mother starts the medication during or after delivery, the infant should take the medication for 6-12 weeks; if the mother does not use antiviral medication during breastfeeding, the infant should continue to take the medication until 1 week after the cessation of breastfeeding.
⑤ Infants should undergo early diagnosis on the 42nd day and 3 months after birth, and HIV antibody testing at 12 and 18 months of age to clarify HIV infection status. HIV-infected infants are followed up in accordance with the requirements of the National Child Treatment Program; uninfected infants receive child health examinations at 1, 3, 6, 9, 12 and 18 months of age to monitor growth and development.
It is possible to reduce the risk of mother-to-child transmission to 2-3%, or even 1%, in HIV-infected pregnant women if all the above interruption measures are taken.
China has fully implemented the prevention of mother-to-child transmission of HIV, providing a series of policy measures, such as free counseling, testing, medication and safe delivery for HIV-infected pregnant women, and the rate of mother-to-child transmission of HIV has dropped to less than 5 per cent.
The following tests and treatments are paid for or subsidized by the government
1. Free HIV testing for all pregnant women at their first prenatal checkup; 2. Financial assistance for termination of pregnancy for AIDS-infected pregnant women;
3. Free antiretroviral drugs for the prevention of mother-to-child transmission of AIDS;
4. Tests for CD4+ T-lymphocyte counts and viral load tests are provided free of charge;
5. Provide certain financial subsidies to AIDS pregnant women for hospitalized deliveries;
6. Subsidizing a certain amount of artificial feeding funds for infants born to AIDS-infected pregnant women;
7. Free antiviral drugs for infants;
8. Free early infant diagnosis and HIV antibody testing at 12 and 18 months of age.
The most source of prevention is to keep the mother-to-be away from HIV
To prevent mother-to-child transmission of HIV, one of the most source is naturally to keep the mom away from HIV. How to prevent HIV infection? There are a few things to do:
1. Safe sex. Eliminate multiple sexual partners and use condoms.
2. Stay away from drugs and alcohol. Drug abuse and sharing a needle with others are easy to get infected with HIV. Alcohol abuse is likely to cause women to lose their virginity and weaken their resistance, which will increase the possibility of HIV infection.
3. Reduce the chance of contacting unclean blood. Do not see a doctor, fillings, surgery in unqualified small clinics, do not tattoo eyebrows, lips, tattoos in unqualified beauty parlors; do not share daily life implements that can easily cause skin and mucous membrane breakage, such as toothbrushes, razors and so on.

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