HIV/HCV Co infection in Pregnancy - 1st ever case in Sri Lanka

HIV and Hepatitis B, C infections in pregnancy adversely affect maternal health and also cause mother to child transmission (MTCT). Effects are more when there is co-infection with these viruses. A 38 year old pregnant mother with newly diagnosed HIV infection was also diagnosed to have HCVcoinfection.This was the first case of HIV/HCV co-infection in a pregnant mother reported in Sri Lanka. She was started treatment for HIV during pregnancy and successfully achieved viral suppression. Since HCV treatment is not recommended in pregnancy, treatment for HCV deferred till postpartum period. 
Identifying HIV and Hepatitis B, C infections in pregnancy are important due to their impact on maternal health and risk of MTCT. Even though HIV is screened routinely, Hepatitis Band C screening is only done at risk basis.Management of HIV/HCV co infection in pregnancy is challenging and involves multidisciplinary approach.