Optimal Management of HIV-Infected Women during Pregnancy and Delivery: An Audit of Compliance with Recommendations
| Autor: | Yannick Manigart, Serge Rozenberg, Patricia Barlow, Michèle Gerard, Marc Hainaut, Jack Levy, Aline Vandermaelen, Tessa Goetghebuer |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Patient Dropouts Adolescent HIV Infections Audit Young Adult Belgium Quality of life Pregnancy Health care medicine Humans Childbirth Pregnancy Complications Infectious business.industry Transmission (medicine) Obstetrics Pregnancy Outcome General Medicine Delivery Obstetric medicine.disease Infectious Disease Transmission Vertical Optimal management Perinatal Care Practice Guidelines as Topic Patient Compliance RNA Viral Female business Viral load |
| Zdroj: | Journal of Women's Health. 18:1881-1887 |
| ISSN: | 1931-843X 1540-9996 |
| Popis: | The improvement in quality of life of HIV-infected patients and a reduced risk of vertical transmission have led to an increase in the desire for pregnancy among infected women. We assessed whether local recommendations were followed by HIV-infected mothers and their reasons for noncompliance.Data on HIV-infected women who delivered between 2002 and 2006 in a large public university hospital in Brussels were collected and analyzed for compliance with recommendations and outcomes.The evidence suggests that current recommendations were followed in two thirds of the 203 recorded deliveries, as the patients in question (n = 140) came to term with an undetectable viral load and an uninfected newborn. About half of these women delivered vaginally, and 67% had ruptured membranes for less than 4 hours and required no instrumental delivery. Among those for whom optimal conditions for delivery were not met, two newborns were infected.The current recommendations were followed in only two thirds of the recorded deliveries. To improve results for the future, we have adapted our protocol both by starting antiviral therapy earlier and by assigning nurses to the patients' follow-up to try to promote better compliance to treatment during pregnancy. |
| Databáze: | OpenAIRE |
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