Document 0371
 DOCN  M9650371
 TI    Social interventions in the care of human immunodeficiency virus
       (HIV)-infected pregnant women.
 DT    9605
 AU    Levine C; Allen MH; Orphan Project: Families and Children in the HIV
       Epidemic, New; York, NY 10013, USA.
 SO    Semin Perinatol. 1995 Aug;19(4):323-9. Unique Identifier : AIDSLINE
       MED/96076548
 AB    The incidence of infection with the human immunodeficiency virus (HIV)
       is increasing among women of childbearing age. Women now account for 18%
       of the total number of cases of the acquired immunodeficiency syndrome
       (AIDS), compared with 9% a decade ago. The medical care of pregnant
       HIV-infected women must take into account the high prevalence of
       substance abuse, preceded and often accompanied by significant levels of
       physical, emotional, and sexual trauma, and the concomitant
       stigmatization of these women in their families and communities.
       Pregnancy is often a time when women are motivated to make major
       positive behavioral and life-style changes. To do this, they need
       ongoing, multidisciplinary counseling and support, with recognition that
       progress may be intermittent and slow. The Special Prenatal Care Program
       at Bellevue Hospital is described to show the level of resource
       commitment that is needed as well as the nearly universal acceptance of
       voluntary HIV counseling and testing in these conditions. Trends in
       permanency planning for the children of HIV-infected women are
       described. Future research needs are outlined, including female-specific
       drug treatment and more effective contraceptive technology for both men
       and women.
 DE    Adult  Case Report  Counseling  Female  Human  HIV Infections/*THERAPY
       Pregnancy  Pregnancy Complications, Infectious/*THERAPY  Prenatal
       Care/*METHODS/TRENDS  *Social Support  JOURNAL ARTICLE

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