Document 0632
 DOCN  M9490632
 TI    HIV infection in the parturient.
 DT    9411
 AU    Halpern S; Preston R; University of Toronto, Ontario, Canada.
 SO    Int Anesthesiol Clin. 1994 Spring;32(2):11-30. Unique Identifier :
       AIDSLINE MED/94341939
 AB    As the incidence of AIDS continues to increase in the female population,
       there will be more cases of HIV-positive women in the obstetric suite
       requiring anesthesia services. Many may be asymptomatic, but there will
       be patients with active opportunistic infections and malignancies who
       may or may not have been treated. The impact of both the disease AIDS
       and the drugs used to treat it on anesthetic technique can be
       significant. Hematological, neurological, respiratory, and immune
       dysfunction can be expected in a significant proportion of these women.
       Universal precautions should be utilized for all deliveries regardless
       of known HIV status. The ubiquitous presence of blood and amniotic fluid
       during labor and delivery mandate the use of gloves, gowns, and eye
       protection in the obstetric suite to avoid transmission of HIV to health
       care workers. Transmission to the newborn during delivery can be
       minimized by avoidance of skin and mucous membrane trauma and careful
       removal of secretions and blood. Infected parturients should be
       carefully assessed for neurological and hematological dysfunction prior
       to the use of regional anesthesia, and anesthesiologists must be aware
       of the potential toxicities of therapeutic drug treatment and their
       impact on anesthesia.
 DE    *Acquired Immunodeficiency Syndrome/DRUG THERAPY/IMMUNOLOGY/  PREVENTION
       & CONTROL/TRANSMISSION  Adult  Anesthesia, Obstetrical
       Anesthetics/PHARMACOLOGY  Female  Human  *HIV Infections/DRUG
       THERAPY/IMMUNOLOGY/PREVENTION & CONTROL/  TRANSMISSION  Infant, Newborn
       Pregnancy  *Pregnancy Complications, Infectious/DRUG THERAPY/IMMUNOLOGY
       JOURNAL ARTICLE  REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).