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Saturday 22 November 2014

HIV positive mother conceives two babies naturally after diagnosis - and her baby and husband are free of the virus

-Amanda Mammadova was diagnosed with HIV in 2010 - three months after meeting her now husband Ali, 29
-The virus was passed on unknowingly by her ex-partner  
-They married eight months later and decided they wanted to try for a baby
-34-year-old said she tried to persuade her husband to opt for insemination
-But he wanted the couple to conceive naturally, despite the risk
-Mrs Mammadova's viral load - the amount of HIV in her blood - is very low
-It means there is a very low risk of passing the virus through sex
-She doesn't need anti-viral medication yet, but has regular check-ups
-She is pregnant with the couple's second baby - who is due in June
-Their daughter Saabria is HIV negative as is Mr Mammadova
At 20 weeks' pregnant Mrs Mammadova will start to take anti-viral medication to help reduce the chance of passing the virus to her baby 
An HIV positive mother is pregnant with her second baby since being diagnosed with the virus, having conceived both children naturally.
Amanda Mammadova was diagnosed with HIV in 2010 - three months after first meeting her now husband, Ali.
The couple married eight months later. Desperate to start a family they considered the risks of conceiving naturally.
Knowing Mrs Mammadova's viral load - the amount of HIV in her blood - was low, Mr Mammadova said he was prepared to take the low risk so the couple could realise their dream of having a baby.
Their daughter, 21-month-old Saabria, was born HIV negative and Mrs Mammadova is now pregnant with their second child.
Amanda Mammadova, who is HIV positive, is pregnant with her second child after she and her husband Ali chose to try and conceive naturally, having done so with their daughter Saabria
Amanda Mammadova, who is HIV positive, is pregnant with her second child after she and her husband Ali chose to try and conceive naturally, having done so with their daughter Saabria
Mrs Mammadova 's viral load - the amount of HIV in her blood - is low, meaning the risk of transmission during sex is low
The couple's daughter Saabria was born HIV negative and Mr Mammadova has regular tests
Mrs Mammadova 's viral load - the amount of HIV in her blood - is low, meaning the risk of transmission during sex is low. The couple's daughter Saabria was born HIV negative and Mr Mammadova has regular tests
Her husband, who has regular tests, has not contracted the virus but will undergo another test shortly to check if he became infected while the couple were trying for their second baby.
The mother-of-one, from Milton Keynes, said she tried to persuade her husband to opt for insemination, but he was adamant they would try to conceive naturally.
Experts from the National Aids Trust told MailOnline that modern treatments for HIV 'significantly reduce' the risk of HIV being transmitted through sex.
Anti-retroviral medication is commonly taken by sufferers while they are trying for a baby naturally, to lower the risk of transmission.
And the drugs have reduced the risk of mother-to-child transmission to less than 0.5 per cent.
Mrs Mammadova chose to share her story to give hope to others diagnosed with HIV, showing how it is possible to live a normal life after diagnosis. 
She said: 'Ali has always supported me and is willing to get HIV in order for us to be a normal couple.
'I did try to persuade him to go down the insemination route but he wanted us to conceive naturally.
'I had always wanted a family but when I was first diagnosed I thought my chances of having a family had been destroyed.
'I was worried I'd pass on HIV to my child, as there is a small chance it can be passed on during pregnancy.  
'But HIV hasn't ruined my life, I married Ali eight months after my diagnosis.
'At first I was petrified about how people would react, I was a fitness instructor so it could have affected my job but thankfully the people I have around me are very supportive.
Mr Mammadova is waiting for a test to establish if he has contracted the virus while the couple were trying for their second child, who is due in June
Mr Mammadova is waiting for a test to establish if he has contracted the virus while the couple were trying for their second child, who is due in June
When Mrs Mammadova is 20 weeks' pregnant she willreduce\ the risk to less than 0.5 per cent
When Mrs Mammadova is 20 weeks' pregnant she will begin to take anti-retroviral drugs to reduce the risk of transmitting the virus to her unborn baby. The drugs reduce the risk to less than 0.5 per cent, experts say
'I also have an older daughter from a previous relationship and I was worried I wouldn't see her grow up, but when doctors reassured me I'd live a happy and normal life that gave me hope for the future.'
Mrs Mammadova was devastated when she discovered an ex-partner had unknowingly passed on the deadly virus.
The 34-year-old feared her husband would call off their relationship but instead he vowed to support her.
As soon as his wife discovered she was HIV positive, Mr Mammadova, 29, was tested.
The results revealed he had not contracted the virus, as have regular tests since, despite the couple not using protection when trying for their two children.
Mrs Mammadova said: 'At first I would worry every time we had sex in case the condom split and he got infected too. 

LOW VIRAL LOAD MEANS IT IS LESS LIKELY HIV WILL BE PASSED ON 

'Viral load' is the amount of HIV in a person's blood.
Those with the virus have their viral load tested regularly as part of their care.
If a person has a high viral load, HIV is more likely to be transmitted to someone else if they don't practise safe sex.
The lower the viral load, the less likely a sufferer is to pass on the virus during sex.
'But Ali reassured me that he wasn't bothered whether he contracted HIV or not as I was his wife.
'My viral load is quite low anyway, so it would be quite hard for someone to catch HIV from me, compared to others living with the virus.
'Ali and I started trying for a baby a few months before I fell pregnant and Ali got tested for HIV afterwards, his test came back negative again.' 
When Mrs Mammadova is 20-weeks pregnant she will start taking anti-retroviral medicines to try and reduce the risk of her baby contracting the disease.
She said: 'I took the medicine when I was pregnant with Saabria and she has tested HIV negative.
'I'm currently about eight weeks pregnant with our second child so it's too early to start an preventative medicine yet.
'I try not to think too much about whether my unborn baby could contract HIV - we're confident the baby will be negative as the risk is so low.'
Yusef Azad, director of policy and campaigns at National Aids Trust (NAT) said: 'Modern HIV treatment reduces someone's viral load to very low levels, making it extremely unlikely that the virus can be transmitted. 
'In the UK, the use of antiretroviral medication in pregnancy has reduced the risk of mother-to-child transmission of HIV to less than 0.5 per cent. 
'These medications can also drastically reduce the risk of HIV transmission within couples affected by HIV who want to conceive naturally. 
'This is often called "treatment as prevention" and is very effective.'
Mrs Mammadova said she tried to persuade her husband to opt for insemination but he refused and was adamant he wanted them to conceive naturally like a normal couple despite the low risk of transmission
Mrs Mammadova said she tried to persuade her husband to opt for insemination but he refused and was adamant he wanted them to conceive naturally like a normal couple despite the low risk of transmission
Mrs Mammadova said she tried to persuade her husband to opt for insemination but he refused and was adamant he wanted them to conceive naturally like a normal couple despite the low risk of transmission
A spokeswoman for the NAT added: 'People with HIV can conceive naturally. If they want to be extra safe they can go on anti-retroviral medication before trying for a baby, especially if their viral load is quite high.' 
She said a woman's risk of contracting HIV during sex is slightly higher than a man's in general, because the surface area of the vaginal wall is greater than that of the penis.
It means there are a greater number of mucus membranes for the virus to potentially pass across from one person to another. 
I hope my story shows people that the disease doesn't need to hold you back. My HIV diagnosis doesn't define me, it has made me a stronger person
While she has come to terms with her HIV diagnosis, Mrs Mammadova said she has experienced some stigma in the past.
'One friend said she was worried about catching HIV from my cutlery, others will tut when they find out I've become a mum,' she said.
'I'm making the most out of my life and since my diagnosis my life has actually improved.
'I want other people to understand the importance of getting themselves checked, diagnosing HIV in the early stages saves lives.
'Ali gets checked every six months to ensure he's still negative.' 
Mrs Mammadova is currently not on medication for her HIV but has check-ups every four months to ensure her immune system is functioning properly.
She said: 'I haven't needed antiretroviral therapy yet but I could need it at any point in the future as it prevents HIV progressing to AIDS.'
The 34-year-old is a successful personal trainer and will often discuss her diagnosis if it comes up in conversation.

THOSE INFECTED WITH HIV IN UK AT ALL-TIME HIGH BUT TREATMENT MEANS SUFFERERS CAN EXPECT TO LIVE NORMAL LIVES 

HIV is a virus that attacks the body's immune system - the body's defence against diseases.
Figures published this week revealed the number of people infected with the virus in the UK has reach an all-time high.
Nearly 110,000 are living with the condition, but around a quarter are unaware they have it. 
Recent research has found that between 70 and 90 per cent of people may experience symptoms of infection a few days after they have been infected.
A fever, rash and severe sore throat should always be considered a potential indicator of HIV.
The symptoms usually disappear within two to three weeks.
A person described as living with HIV means they have HIV in their body.
New figures published this week revealed the number of people infected with HIV, pictured under the microscope in purple and green, in the UK has reached an all-time high, with 111,000 living with the condition, but around a quarter unaware they have it
New figures published this week revealed the number of people infected with HIV, pictured under the microscope in purple and green, in the UK has reached an all-time high, with 111,000 living with the condition, but around a quarter unaware they have it
A person is considered to have developed AIDS when the immune system is so weak it can no longer fight off a range of diseases, which it would normally cope with.
There is currently no cure for HIV. But those with the virus receiving treatment can live a healthy, active life.
If the virus is diagnosed late, treatment may be less effective in preventing AIDs.
Those who are diagnosed early and respond to treatment can be healthy, work, and have relationships like anyone else. 
HIV treatment was transformed in 1996 with the introduction of Anti-Retroviral Therapy (ART).
It means a person diagnosed in time and who adheres to their medication can, in the vast majority of cases, manage their health condition and look forward to a near normal life expectancy.
ART can cause some side-effects including fatigue, depression and diarrhoea, though they are increasingly well-managed.
How is HIV passed on?
The virus can be passed on through infected blood, semen, vaginal fluids or breast milk.
HIV is most commonly passed on during:
  • sex without a condom with someone living with HIV
  • sharing infected needles, syringes and other injecting drug equipment 
  • from an HIV-positive mother (to her child) during pregnancy, childbirth or breastfeeding - if the right steps to prevent infection are not taken 
Can women living with HIV still have a baby?
HIV can be passed from mother to child, but there are steps that can be taken to reduce the possibility of the child contracting HIV to less than one per cent.
They include the mother taking anti-retroviral drugs while pregnant, delivering the baby via Caesarean section and not breastfeeding the baby.
She added: 'I pose no threat to my clients, I don't usually disclose my HIV diagnosis but I don't hide my status, it's all over my Facebook so it's quite obvious to those who look in to who I am as a trainer.
'I haven't experienced a back lash from people knowing I have HIV, it doesn't bother them at all.
'My clients have all been wonderful and extremely supportive.
'Not everyone who 'comes out' as being HIV positive will be rejected by society, I think it's important for those living with the disease to know that.
'It's not a death sentence anymore.
'Some people are very narrow minded and believe you can catch HIV through sweat or even touching someone with the disease.
Mrs Mammadova believes educating people on HIV is key to helping people change the stigma attached to it.
She added: 'I hope my story shows people that the disease doesn't need to hold you back.
'My HIV diagnosis doesn't define me, it has made me a stronger person.'