BMJ  2007;334:950-953 (5 May), doi:10.1136/bmj.39176.674977.AD

Practice

Pregnancy plus

HIV and pregnancy

Glenda E Gray, unit director, James A McIntyre, unit director

Perinatal HIV Research Unit, University of the Witwatersrand, Johannesburg, South Africa

Correspondence to: G E Gray gray@pixie.co.za

The first 150 words of the full text of this article appear below.

Introduction

The management of HIV infection during pregnancy is complex, and the scenario box on this page illustrates the complexities involved. In 2005, UNAIDS (the Joint United Nations Programme on HIV/AIDS) estimated that 38.6 million people had HIV, of whom 17.3 million were women (with most being in their reproductive years). At least 3.28 million pregnant women infected with HIV are estimated to give birth each year, with more than 75% of these in sub-Saharan Africa; this is where most of the annual 700 000 new infections of HIV in children occur.


SCENARIO

A 27 year old woman is referred to the antenatal clinic at 16 weeks of pregnancy. This is her second pregnancy—her first child, delivered by caesarean section, is now 8 years old. The mother was diagnosed with HIV four years ago when she developed herpes zoster. She has been taking zidovudine, lamivudine, and nevirapine for four weeks through an . . . [Full text of this article]


Timing of and factors affecting mother to child transmission

How does pregnancy affect progression of HIV disease?

How does HIV affect pregnancy and pregnancy outcomes?

How can HIV be managed in pregnancy?

Clinical management of labour and delivery

Postpartum complications

What about breast feeding?

Diagnosis in infants

Conclusion


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This article has been cited by other articles:

  • Dyer, S.J. (2008). Infertility in African countries: challenges created by the HIV epidemic. ESHRE Monogr 2008: 48-53 [Abstract] [Full text]  
  • Jayasuriya, A, Allan, P S (2007). Are we doing enough?. BMJ 334: 1287-1288 [Full text]  

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