Q and A

Question

If we are both HIV-positive, how can we have a baby that is not infected?

Answer

Hi

The short answer is that if you are both HIV-positive, then having a baby is in many ways less complicated than if either of you was HIV-negative.

Use of HIV treatment will depend on your partners current health, but generally, by both using HIV treatment through pregnancy and having an undetectable viral load at delivery, this should mean that there is a 99% chance that the baby will not become infected with HIV.

For more details see our HIV and pregnancy guide.

These online questions and answers may also be useful.

Best wishes

Simon

PS – If you could spare a couple of minutes to answer anonymously a few questions about this information service at the following link, it would really help us see the service is used:
http://www.i-base.info/questions/qasurvey.html

34 comments

  1. Christina Antoniadi

    Hello Laddy and many thanks for the question.

    Congratulations on the new baby. This must be a very exciting time for your family.

    From what you are writing there is a very good chance that the baby will be HIV-free.

    Why is your mum not taking medication? What has her doctor said?

    Are they giving the baby any medication now?

    Feel free to contact us again for more information

  2. Laddy

    Hi
    I have a question
    My mom is positive ,she’s undetectable
    She just gave birth but she wasn’t on treatment throughout the pregnancy
    Is the baby safe?

  3. Simon Collins

    Hi Claire – if this is the case then both you and your baby have just been extremely luckly.

    I hope you are now connected to good care and information so that you have access to good treatment.

    Your baby might also need meds for a short time too.

  4. Claire

    I’m Hiv positive I have a baby who is hiv negative but I’m not in medication nor my child

  5. Josh Peasegood

    Hi Hawa, are you and your partner on treatment? and what is your viral load/CD4 counts?

    Treatment does not have any impact on fertility. As it would be keeping you both healthy, HIV treatment can only help to improve your fertility and keep you both healthy.

    As you have been trying for the last 3 years have you spoken with your doctor? Which country are you based? Usually it is recommended that after 2 years of trying you should speak to your doctor to have further testing done fertility if it is deemed appropriate by yourselves and your doctor.

  6. Hawa

    My partner and I positive we are trying to have a baby for three years now

  7. Lisa Thorley

    Hi Halima,

    If you’re positive it’s better to have an undetectable viral load before you start trying for a baby. Are you able to wait?

    If you and your partner have the same strain of HIV, there’s no risk of reinfection. If you have different strains, reinfection could occur.

  8. Halima

    I and my partner re positive n we re not yet undetectable.. Can we have sex without protection…. Cus we re trying for baby

  9. Lisa Thorley

    Hi Portia,

    You being positive wont’ be the reason why you haven’t conceived, if you’re having issues you’ll need to talk to a fertility specialist.
    Is there any reason why you and your partner aren’t on medication? I’m asking as it’s important that people use ARVs.

  10. Portia

    My partner and I are positive we not on medication as yet.. but for a year we have been doing unprotected sex with intension for wanting a baby but it came to my attention that we didn’t conceive..
    Should I be worried that we can’t have children or it has to do with the cd4 count..

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