Thank you for your question.<\/p>\n
Please don’t worry, thousands of positive women have HIV negative babies. As you are on treatment with an undetectable viral load your baby is at extremely low risk of getting HIV as HIV treatment can almost completely prevent transmission.<\/p>\n
Any HIV treatment is prevention of mother to child treatment and so you have already started this. The only thing is that one of your treatments, the Stocrin (efavirenz), is quite controversial in early pregnancy. One animal study found efavirenz could possibly cause defects in the baby but so far this has not been seen in humans. Nevertheless efavirenz is not always recommended during pregnancy and you may want to speak to your HIV doctor about switching this drug to something else. For more information please follow this link<\/a>.<\/p>\n As far as how to deliver the baby is concerned, this is your decision. Recent data from the UK and Ireland indicate that mothers on combination therapy with an undetectable viral load can deliver vaginally and that pre-labour Caesarean delivery does not offer any additional benefit to the babies. If you do decide to have a Caesarean section then it would need to happen before you went into labour. For more information please follow this link<\/a>.<\/p>\n