A positive life and future free from human immunodeficiency virus (HIV) infection is attainable. This poses a challenge to an obstetrician in preventing maternal to child transmission because every child deserves the right to be born free from HIV.

The transmission of HIV from an HIV·positive mother to her child during pregnancy, labor, delivery or breastfeeding is called mother-to-child transmission. In the absence of any interventions transmission, rates range from 15·45%. This rate can be reduced to levels below 5% with effective interventions. Hence, early identification and treatment of all pregnant women infected with HIV is the best way to prevent neonatal disease and improve women's health. We report a case of a 26·year·old G3P1 (1010), Pregnancy uterine, 37 weeks age of gestation by last menstrual period, diagnosed with Acquired Immunodeficiency Syndrome (AIDS), WHO Stage 11·11wI ith recurrent respiratory tract infection, unexplained severe weight loss >10% since April 1,2011 and had been on highly active antiretroviral therapy (HAART) since then. Patient delivered to a live, term, female, 38·39 weeks by pediatric aging, via emergency low segment cesarean section with bilateral tubal ligation. Infant antiretroviral prophylaxis was given for 6 weeks, and breastfeeding was discouraged. Polymerase Chain Reaction (HIV RNA detection) testing was done on the infant after 8 weeks of life with negative results. Infant remains well and uninfected with HIV 6 months postnatal.