[Maternal-fetal transmission of HIV: preventive measures and prenatal care].
HIV can be transmitted to foetus during pregnancy, labour, and breastfeeding. An estimated 600,000 newborns acquired HIV each year through mother to fetus transmission. Without preventive interventions, approximately 25% of infants born to HIV positive mothers contract the virus. Elective delivery by caesarean section at 38th weeks, before labor and rupture of membrane, decreased the fetal risk. Anniotomy and long-standing rupture of the membranes should be avoided, as should breastfeeding. As well based on the review of literature the authors provide an overview of vertically acquired of HIV infection, preventive measures and perinatal car are discussed.
Service de gynécologie obstétrique CHU Charles foix-Jean Rostand, Paris.
Moez
M
Kdous
Rim
R
Hachicha
Amélie
A
Gervaise
Thierry
T
Jault
Frédérique
F
Renouvel
Olga
O
Lahmy
Jean Marie
JM
Malaret
Dominique
D
Pathier
D000328:Adult; D002585:Cesarean Section; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000209:etiology; D015658:HIV Infections / Q000635:transmission*; D006801:Humans; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control / Q000628:therapy; D011295:Prenatal Care; D012307:Risk Factors