Abstract
Introduction: In present scenario Acquired immunodeficiency syndrome is one of the worst global health concerns.HIV has a dramatic impact on the health of mother and children. Parent to child transmission of HIV is a major route of new infection in children. 
 Objective: Aim of my study is to find out the prevalence of HIV status among pregnant women delivering in our hospital and to determine maternal and fetal outcome in those HIV positive pregnant women. 
 Materials and Methodology: A retrospective study conducted in Government medical college and sir T hospital, Bhavnagar from May 2019 to April 2021. All HIV positive pregnant women with >28 weeks gestation and who are on ART or not and delivering in our hospital were selected. Maternal and fetal outcome variables were analysed.
 Results: Total deliveries during the study period were 9526. Of these HIV positive pregnant women were 58, prevalence being 0.6%. Primigravida were found to be 34.48%, 48.27% were diagnosed HIV positive during pregnancy, vaginal deliveries were 75.86% and caesarean section was 24.13%. Birth weight <2kg in 20.68%.Exclusive breast feeding in 81.13%. Nevirapine prophylaxis were given to 96.22% of neonate. 
 Conclusion: Early diagnosis and initiation of therapy will prevent transmission to their children and better fetomaternal outcome. Awareness and information is important to increase access to PPTCT services. Team approach involving an experienced obstetrician, neonatologist and physician gives hope of having a healthy uninfected baby for HIV infected mothers.
 Keywords: fetomaternal, HIV
Highlights
In present scenario Acquired immunodeficiency syndrome is one of the worst global health concerns.HIV has a dramatic impact on the health of mother and children
Parent to child transmission of HIV is a major route of new infection in children
India has third largest pool of HIV cases in the world and 2.14 million people living with HIV. (4) Parent to child transmission of HIV is major route of new HIV infection in children.Pregnant women who are found HIV positive should have immediate and lifelong ART to treat HIV and improve her own health and maximally suppress maternal viral load prior to conception to decrease the risk of perinatal transmission and HIV transmission to uninfected partner.(1)
Summary
In present scenario Acquired immunodeficiency syndrome is one of the worst global health concerns.HIV has a dramatic impact on the health of mother and children. (4) Parent to child transmission of HIV is major route of new HIV infection in children.Pregnant women who are found HIV positive should have immediate and lifelong ART to treat HIV and improve her own health and maximally suppress maternal viral load prior to conception to decrease the risk of perinatal transmission and HIV transmission to uninfected partner.(1). Goals of pre conceptional counselling are to improve the health of women before conception and to identify the risk factors for adverse maternal and fetal outcome.In the absence of any interventions transmission rate of MTCT range from 15-45%. This rate can be reduced to level below 5% with effective interventions. Other factors like high viral load,advanced age, bad habit during pregnancy, mixed feeding are responsible for MTCT
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