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M9490640.TXT
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1994-09-24
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Document 0640
DOCN M9490640
TI [Obstetrical management of a patient with HIV infection]
DT 9411
AU Figueroa Damian R; Departamento de Infectologia e Inmunologia, Instituto
Nacional; de Perinatologia, Mexico, D.F.
SO Ginecol Obstet Mex. 1994 Jul;62:211-6. Unique Identifier : AIDSLINE
MED/94341658
AB In light of the increasing Human Immunodeficiency Virus (HIV) infection
in women, the role of the obstetricians-gynecologists in the management
of the HIV seropositive patients should increase, for these reasons is
needed to improve their knowledge about HIV infection. The perinatal
transmission are the principal route of infection in children,
prospective studies have informed a maternal-fetal transmission rate
between 25 to 35%. HIV may be transmitted to an infant via the placenta.
Caesarean delivery appears to play little o no role in preventing
neonatal disease. Diverse studies suggest that rates of perinatal
transmission may be increased in women with CD4 counts of less than
400/mm3, and in women in the later stages of illness. Pregnant women
whose CD4 counts are less than 500/mm3 should receive zidovudine,
preferably beyond the first trimester. All the health care workers must
rigorously follow the recommendations for minimizing the risk of
occupational transmission of HIV.
DE Acquired Immunodeficiency Syndrome/DRUG THERAPY/EPIDEMIOLOGY/
*TRANSMISSION Adult English Abstract Female Human HIV
Infections/DRUG THERAPY/EPIDEMIOLOGY/*TRANSMISSION Maternal-Fetal
Exchange Mexico/EPIDEMIOLOGY Pregnancy Pregnancy Complications,
Infectious Pregnancy Outcome Pregnancy Trimester, Second Pregnancy
Trimester, Third Zidovudine/*ADMINISTRATION & DOSAGE JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).