Abstract

RADA-ORTEGA, Camilo  and  GOMEZ-JIMENEZ, Jorge Mario. Integral management of HIV-infected-pregnant females. Rev Colomb Obstet Ginecol [online]. 2010, vol.61, n.3, pp.239-246. ISSN 0034-7434.

Objective: reviewing the most relevant aspects involved in managing pregnant females affected by human immunodeficiency virus (HIV) before, during and after giving birth. Basic measures in caring for the newborn are also included. Methodology: MEDLInE publications on the topic published from January 2000 to June 2009 were reviewed. Colombian Ministry of Social Protection guidelines were also reviewed as well as those from the US Centers for Disease Control and Prevention (CDC). Results: the opportune prescription of highly effective antiretroviral therapy during prenatal control, using pre-delivery antiretroviral prophylaxis, performing caesarean section, avoiding maternal breastfeeding and neonatal prophylaxis were found to be the measures which would lead to almost 100% mother-child HIV transmission being avoided. Conclusion: current management recommendations would lead to preventing mother-child HIV transmission in most cases.

Keywords : HIV; pregnancy; newborn; breastfeeding; contraception.

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