title: Pregnancy care in two adolescents perinatally infected with HIV.
abstract: We describe the main issues encountered in pregnancy care in two perinatally infected adolescents with HIV. Despite the young maternal age, both mothers complied well with visits and treatment during pregnancy and delivered at week 38 through elective caesarean section. Both, however, missed the regular gynaecological and the routine HIV visits scheduled after pregnancy. Both infants following HIV exposure were confirmed HIV-negative at the end of tests performed in the first year of life. A growing number of similar cases is expected as perinatally infected children enter adolescence and become sexually active. These two cases indicate the feasibility of an adequate pregnancy care in very young HIV-positive women, but suggest that potential difficulties may be encountered in this population in maintaining optimal care after delivery. Such objectives might be better obtained with a timely transition of adolescents with HIV from paediatric clinics to a multiservice care setting which includes infectious diseases clinics, obstetric and gynaecologic departments and, particularly, counselling and educational services.
authors.affiliation: Department of Gynaecology and Obstetrics, S. Giovanni di Dio Hospital, University of Cagliari, Cagliari, CA, Italy. gineca.ameloni@tiscali.it
authors.forename: Alessandra
authors.initials: A
authors.lastname: Meloni
authors.forename: Milena
authors.initials: M
authors.lastname: Tuveri
authors.forename: Marco
authors.initials: M
authors.lastname: Floridia
authors.forename: Francesca
authors.initials: F
authors.lastname: Zucca
authors.forename: Grazia
authors.initials: G
authors.lastname: Borghero
authors.forename: Donatella
authors.initials: D
authors.lastname: Gariel
authors.forename: Gian Benedetto
authors.initials: GB
authors.lastname: Melis
mesh_terms: D000293:Adolescent; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D005260:Female; D015658:HIV Infections / Q000151:congenital / Q000188:drug therapy*; D006801:Humans; D011181:Postnatal Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000628:therapy*; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000379:methods*; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents