Hi, thank you for asking healthcare magic.
I have gone through your query and understood your concerns.
It is possible for an HIV+ pregnant woman not to infect her baby. This can be possible if precautions are taken.
Mother to child transmission of HIV can occur either during
pregnancy, labour and delivery or
breastfeeding. There are interventions that can be taken during each stage to prevent transmission. If nothing is done, the chances of infecting your baby range from 25 to 40%.
If precautions are taken, this risk of infection can be reduced to less than 5%.
During pregnancy, labour & delivery and breastfeeding, the risk of infection increases with an increased
viral load. This viral load can only be reduced by antiretroviral drugs.
From the recent WHO recommendations, antiretroviral therapy should be initiated as early as possible during pregnancy and should remain a life long treatment called Prevention of Mother to Child Transmission (PMTCT) Option B+, or stop after weaning the child (PMTCT Option B).
If you want the transmission to your baby to be prevented, I would suggest you take either PMTCT Option B or B+.
During labour and delivery, the midwives and doctors know the precautions to take in order to reduce the risk of transmission.
After delivery, exclusive breastfeeding or exclusive formula feeding could reduce the the risk. Mixed feeding is not advised.
I hope that helps
I wish you well