HAART for short duration in pregnancy and continued intrapartum
Zidovudine Vs START Zidovudine START may allow the emergence of resistant virus maternal plasma viraemia is more likely to be suppressed to undetectable levels exposure of the mother and fetus to larger numbers of potentially toxic drugs
Vertical transmission can be reduced to less than 2%
Pre pregnancy counselling should be done.
IVF pregnancy in HIV patients Discordant couple If Male HIV Negative artificial insemination at the time of ovulation, and quills, syringes and Gallipots may be provided. If Female HIV negative ‘ Sperm washing’-spermatozoa are separated from surrounding HIV-infected seminal plasma by a sperm swim-up technique