Oh Baby!!

[skyler411]

I'm considering  haveing  another baby ,I already have 3 healthy kids  ,but my husband wants  THE BOY ... I'm 33yrs old  was planning on treating with new drugs . So my question  Would you  have baby first  or treat  first ..I'm just afraid  of the  possible birth defects  from treatment drugs ,,

[spectda]

"other's have a right to expression their opinions"
meant to say-
others have a right to express their opinions

[spectda]

Personally I don't believe this is mainly a medical decision, but a moral decision. If someone posts something on the forum other's have the right to expression their opinions. I would rather people be honest with me about their opinions when I post rather then feeling they are obligated to be "nice".

[mikesimon]

"...Although the statistics determining the rate of vertical transmission
is not uniform among these studies, experts believe the most accurate
estimate of vertical transmission from mothers with Hepatitis C is
five percent. Based upon a comprehensive review of trials
investigating Hepatitis C vertical transmission, the following appear
to represent the two largest risks for bearing a child with Hepatitis
C:

1. The mother is co-infected with Hepatitis C and HIV.

2. The mother has a high Hepatitis C viral load during birth.
In addition, physicians typically relay the following information to
pregnant women with Hepatitis C: .."

http://www.hepatitis-central.com/mt/archives/2010/08/newly_recognize.html

[nygirl7]

Skylar
Seek advice both from your ob-gyn and hepatologist, they will base it on your medical history, lifestyle, vl, current condition, etc. "

I totally agree with this advise. None of us are doctors even though we like to think so at times so none of us should be listened to over your doctor unless it is a very obvious mistake on his part that you are 100% sure of.  Like the poster above said it's only the internet and while we try to be as helpful as possible.....you can find studies that prove things this way or that way each and every time.

[GSDgirl]

I honestly hope you go with your gut, do your research and question your doctors.  Just make sure of exactly what you want to do.

And we all need to remember that this is only the internet and everybody interprets things differently

Good Luck

[Trish77]

You are indeed entitled to your opinion the same as everyone else.  However, when you start using data to back up your opinion or state facts to back up your opinion, that needs to be accurate.  I'm not trying to be argumentative here - you're stating things that are inaccurate. There will be other people making this decision and reading information so it needs to be as accurate as possible.  

You mention low viral load as decreasing the risk, however I haven't seen anything that says viral load makes any difference on the risk level of vertical transmission.

http://www.hcvadvocate.org/hcsp/articles/HERRINE.html

"Genotype, viral load, vaginal vs. cesarean delivery, breast feeding or HIV co-infection were not associated with transmission. (6)"

As for vaginal vs Caesarian delivery:

"http://www.ajog.org/article/S0002-9378(08)00564-4/abstract:

"The vertical transmission rate for infants following vaginal delivery or emergency cesarean in labor was no different when compared with those delivered by planned cesarean (4.2% vs 3.0%, P = NS). Among women in whom hepatitis C RNA was detected antenatally, this finding remained (7.2% vs 5.3%, P = NS). No case of vertical transmission was noted among hepatitis C RNA-negative mothers.

Conclusion
This study reports a vertical transmission rate for hepatitis C of 4.1%. These results do not support a recommendation of planned cesarean to reduce vertical transmission of hepatitis C infection.

The reason HIV mothers are *potentially* advised to use C-Section is because HIV is transmitted differently than HCV.  There are higher rates of HCV infection in HCV-HIV co-infected mothers.  So clearly completely different situations and you can't take what applies to HIV and apply it to HCV.