I have positive pregnacy test and have the implant insert does that affect the baby ?

Only if the implant: Is still actively releasing hormones. It isn't clear from what you stated whether or not you have an intradermal hormonal implant or an intrauterine device. The Intrauterine device significantly increases the risk of pregnancy loss. Either way, you need GYN to discuss the risks and benefits of removing the device in light of your current pregnancy. Call OB today and make a plan.