Perinatology.  2024 Sep;35(3):107-111. 10.14734/PN.2024.35.3.107.

Successive Term Delivery in Women with Stable Human Immunodeficiency Virus Infection: A Case Report

• Kwon KY
• Song JS
• Park SH
• Jeon SH
• Kim SY
• Eom JS

• KMID: 2560189
• DOI: http://doi.org/10.14734/PN.2024.35.3.107

Abstract

The study of human immunodeficiency virus (HIV) infection during pregnancy is of great significance because most women are first diagnosed with HIV during pregnancy. Similarly, it is equally important in cases where one or both partners are HIV-positive and wish to conceive. Since the first case of HIV was reported in the 1980s, antiviral drugs have been developed to prevent progression to acquired immunodeficiency syndrome (AIDS), which allows many AIDS patients to be asymptomatic or have only mild symptoms. This case shows that consecutive pregnancies and births are possible through proper antiretroviral therapy along with regular prenatal examinations in HIV-positive women. Rather than recommending contraception or expressing negative opinions about pregnancy in HIV-infected couples, active HIV treatment and prenatal care should be conducted to support a safe pregnancy and lower the chance of vertical HIV transmission. Recently, there has been a case report on successive childbirths of HIV-positive pregnant women who continued to receive antiretroviral therapy after their first childbirth at our hospital. Through this case, we report that safe delivery of HIV-infected mothers is possible, and further subsequent childbirths can be achieved with the use of appropriate antiretroviral therapy.

Keyword

Human immunodeficiency virus pregnancy; Mother to child transmission; Successive pregnancy; Antiretroviral therapy; Prenatal care