Why is a C-section sometimes recommended if you are living with HIV?

Before modern ART, planned C-section significantly reduced vertical transmission.

But recent studies show there is no benefit compared to a natural birth using ART and viral load testing.

Having a planned C-section does not offer any extra benefit if a mother’s viral load is undetectable. But she might sometimes need one for another reason.

The choice is especially important if you might have more children in
the future. This is because vaginal births with later pregnancies are more complicated.

If you need a planned C-section, it must be carried out before the start of labour and ruptured membranes. This is also called “pre-labour”, “elective”, or “scheduled” C-section.

Last updated: 1 November 2023.