Researchers from the French Perinatal Cohort study found that women who did not disclose their HIV-positive status to their partners during pregnancy had a less than optimal experience with perinatal HIV prevention. Although disclosure status did not result in additional perinatal transmissions in this study population, it did result in late initiation of HAART, a higher viral load at delivery, and difficulties with adherence to neonatal prophylaxis - all contributors to perinatal transmission. Further work around disclosure to partners is needed to ensure optimal perinatal HIV prevention.
Citation:
Jasseron C, Madelbrot L, Dollfus C, Trocme N, Tubiana R, Teglas JP, Faye A, Rouzioux C, Blanche S, Warszawski J. Non-disclosure of a pregnant woman's HIV status to her partner is associated with non-optimal prevention of mother-to-child transmission. AIDS Behav. 2013 Feb;17(2):488-97.
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