HIV exposure wen you get belle or afta you born pikin

Possible exposure (wen HIV fit don enter your body) wen you get belle, or soon afta you born, fit make fear catch you well, becos you dey tink about your pikin and yourself. Di good news be say clear steps dey wey go protect both of una.

Why di risk high pass

One study for 2018 find say di chance to get HIV through vaginal sex high pass wen woman get belle, and e high pass again for di six months afta she born. Di calculator dey multiply di risk for each act of receptive vaginal sex by 2.82 wen you get belle (di study estimate from week 14 go) and by 3.97 afta you born.

For one act of vaginal sex wit man wey get HIV and no dey take treatment, dis na wetin e mean:

• No belle: 0.08% (around 1 out of 1,200)
• Wit belle: 0.23% (around 1 out of 440)
• Afta you born: 0.32% (around 1 out of 310)

Wit partner wey you no know im status, di risk dey usually low well-well, but di same increase still apply.

PEP wen you get belle and wen you dey breastfeed

CDC guidelines tok say belle and breastfeeding no be reason to hold PEP back. If you get exposure wey need PEP, dem suppose offer you am. Your doctor or nurse fit consult HIV specialist, becos belle fit reduce di level of some HIV medicines for body and dem fit need to adjust di dose.

PEP dey work di same way as for anybody: start within 72 hours, take am every day for 28 days, and do follow-up HIV tests 4 to 6 weeks and 12 weeks afta di exposure. See how to get PEP.

How to protect your pikin

HIV fit pass to pikin wen mama get belle, wen she dey born and wen she dey give pikin breast milk. Na why to find out early dey very important. If you don really get HIV, to start treatment quick dey protect your pikin. CDC tok say undetectable viral load (wen HIV for blood don low reach where test no fit see am) dey stop HIV from passing during belle, labor and delivery. WHO tok say women wey get belle and HIV suppose start treatment as quick as dem fit.

Tell your antenatal team about di exposure, even if e dey shame you small. Dem fit plan di correct tests for di correct time.

Breastfeeding afta possible exposure

If you dey breastfeed and HIV fit don enter your body, tok to doctor or nurse as quick as you fit. Very new infection fit no show for test sharp-sharp, so CDC guidelines describe options wey dem go discuss wit you:

• to stop breastfeeding, or
• to pump your breast milk and keep am until dem don confirm say you no get HIV, then you go start to breastfeed again.

Dis na decision wey you and your doctor or nurse go take togeda, based on your situation and wetin matter to you.

PrEP wen you get belle or dey breastfeed

If exposure fit happen to you again, ask about PrEP (pre-exposure prophylaxis: HIV medicine wey you dey take before any exposure to protect yourself). CDC tok say PrEP fit help prevent HIV wen you dey try to get belle, wen you get belle and wen you dey breastfeed. You go need negative HIV test before you start.

Your test plan

• If you dey take PEP: tests 4 to 6 weeks and 12 weeks afta di exposure.
• If 72 hours don pass: HIV test now, then lab antigen/antibody test (blood wey dem draw from vein) from 45 days afta di exposure. See wetin to do afta 72 hours.
• If you get fever, rash or sore throat for di weeks afta di exposure, contact your doctor or nurse and ask for HIV test.

How accurate HIV test be week by week dey explain wen each kind of test dey give answer wey you fit trust.

Wetin to do now

1. E neva pass 72 hours? Go find PEP now and tell dem say you get belle or say you just born.
2. You dey breastfeed? Ask di same doctor or nurse about your options, including to pump and keep milk until dem confirm say you no get HIV.
3. Tell your antenatal or postnatal team make dem fit plan your tests.
4. Book your follow-up tests, and ask about PrEP if exposure fit happen to you again.