martes, 21 de junio de 2011

HIV in Pregnancy

HIV in Pregnancy
1. Understand the effects of HIV on pregnancy
2. Discuss MTCT, factors that may increase transmission, and measures that reduce transmission
3. Describe how ART is used for the prevention of MTCT
4. Describe the various drug regimens for PMTCT that are used during pregnancy, intrapartum, and postpartum, including short course ART
5. Discuss issues related to breastfeeding, PMTCT, ART and WHO recommendations
6. Discuss national guidelines with regards to HIV and infant feeding
7. Discuss HIV and infant feeding as they relate to ARV therapy
8. Discuss specific considerations affecting the use of ARV’s in women
HIV and Pregnancy: Prevention of Mother-to-Child Transmission
2 million HIV-infected women become pregnant each year
Between 1/4 and 1/3 transmit the disease to their newborns during labor, delivery, or while breast-feeding
2,000 new HIV-infected infants each day
HIV presentation is the same in both sexes.
HIV can be transmitted from mother to child and influence mother’s reproductive health.
While asymptomatic, many women are unaware of their HIV status until the diagnosis is made in their infants.
She then might be blamed for bringing HIV infection into the family
Some studies suggest that HIV may have an adverse affect on a woman’s fertility.
Long term progression of CD4 count / percentage is not affected by pregnancy.
HIV by itself does not cause congenital abnormalities in the fetus.




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