Pregnancy in HIV positive women in Poland. Review of epidemiological situation and patients’ management

Abstract: During pregnancy, various infections may be transmitted from the mother to the foetus, both through the placenta, during delivery and breastfeeding. In prevention of vertical transmission of infections, appropriate prophylaxis is important. HIV is a significant threat to both the mother and the foetus. It involves the risk of vertical transmission of the virus and the development of AIDS in both the mother and the child. In this review current reports from the field of gynaecology and infectious diseases regarding appropriate vertical transmission prevention in HIV positive pregnant patients are presented. The most important aspects of management of those patients were analysed and summarized. The risk of HIV transmission from the mother to the child without the implementation of appropriate prevention is 65-75%, but with appropriate care it is possible to reduce this risk to < 0.5%. HIV testing during pregnancy is an important element in the prevention of infections. The fastest possible implementation of treatment in HIV positive pregnant patients and prophylaxis in a child born by a HIV positive mother, significantly reduces the risk of transmission of the virus from the mother to the child. Authors: Carlo Bienkowski, Monika Kowalczyk, Joanna Kacperczyk-Bartnik, Pawel Bartnik, Agnieszka Dobrowolska-Redo, Ewa Romejko-Wolniewicz Download this article

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