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

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