Question: Can pregnant or postpartum women who have HIV transmit Covid virus to their children

Answer passage (source: WHO):
page_title: Q&A: HIV, antiretrovirals and COVID-19
section_headers: Can pregnant or postpartum women living with HIV transmit the COVID-19 virus to their unborn child or infant?
section_content: There are few data on the clinical presentation of COVID-19 in specific
populations, such as children and pregnant women[13] but findings from a small
published study suggest that there is currently no evidence for intrauterine
infection caused by vertical transmission in women who develop COVID-19
pneumonia in late pregnancy[14]. **** Although no vertical transmission has
been documented, transmission after birth via contact with infectious
respiratory secretions is a concern. Infants born to mothers with suspected,
probable, or confirmed COVID-19 should be fed according to standard infant
feeding guidelines[15], while applying necessary precautions for infection
prevention and control (IPC). As with all confirmed or suspected COVID-19
cases, symptomatic mothers who are breastfeeding or practicing skin-to-skin
contact or kangaroo mother care should practice respiratory hygiene, including
during feeding (for example, use of a medical mask when near a child if the
mother has respiratory symptoms), perform hand hygiene before and after
contact with the child, and routinely clean and disinfect surfaces with which
the symptomatic mother has been in contact[16].

Q&A on COVID-19, pregnancy, childbirth and breastfeeding 


Reviewer feedback on this answer:
The questions specifies HIV and Covid but the answer gives no info relative to HIV status.
This answer does not address whether women who are HIV positive can transmit COVID to their children.

Reviewer ratings:
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Answer passage (source: WHO):
page_title: Q&A: HIV, antiretrovirals and COVID-19
section_headers: Should pregnant and breastfeeding women living with HIV with COVID-19 and their newborns be managed differently?
section_content: There is currently no known difference between the clinical manifestations of
COVID-19 or risk of severe illness or foetal compromise for pregnant and non-
pregnant women or adults of reproductive age. Pregnant and recently pregnant
women with suspected or confirmed COVID-19 should be treated with supportive
and management therapies, considering the immunologic and physiologic
adaptations during and after pregnancy which may overlap with COVID-19
symptoms. Data are limited but, until the evidence base provides clearer
information, special consideration should be given to pregnant women with
concomitant medical illnesses who could be infected with COVID-19. There are
no reported deaths in pregnant women at time of publishing this
information[17] however, COVID-19 testing of symptomatic pregnant women may
need to be prioritized to enable access to specialized care. All recently
pregnant women with COVID-19 or who have recovered from COVID-19 should be
provided with information and counselling on safe infant feeding and
appropriate IPC measures to prevent COVID-19 virus transmission[18].
With confirmed disease or under investigation, management is similar to non-
pregnant women, with appropriate isolation of confirmed or under
investigation. Obstetric facilities must be notified and prepared, noting that
each infant born to any mother with confirmed COVID-19 should be considered a
‘person under investigation’ and should be isolated according to the IPC
guidance. Currently, it is unknown whether newborns with COVID-19 are at
increased risk for severe complications.

Reviewer feedback on this answer:
The question is about HIV women but the answer does not mention that aspect.
This answer does not address if women who are HIV positive can transmist COVID to their children.

Reviewer ratings:
Could be Improved
Bad

Answer passage (source: WHO):
page_title: Q&A: Pregnancy, childbirth and COVID-19
section_headers: Can COVID-19 be passed from a woman to her unborn or newborn baby?
section_content: We still do not know if a pregnant woman with COVID-19 can pass the virus to
her foetus or baby during pregnancy or delivery. To date, the active virus has
not been found in samples of amniotic fluid or breastmilk.

Reviewer feedback on this answer:
The question is about pregnant HIV women but the answer doesn't mention HIV.
This answer does not address whether women who are HIV positive can transmit COVID-19 to their child.

Reviewer ratings:
Could be Improved
Bad