AffiliationThe Rotunda Hospital, Parnell Sq, Dublin 1.
MeSHAntiretroviral Therapy, Highly Active
Infectious Disease Transmission, Vertical
Pregnancy Complications, Infectious
MetadataShow full item record
CitationHIV testing and treatment in the antenatal care setting. 2010, 103 (1):14-7 Ir Med J
JournalIrish medical journal
AbstractRoutine linked HIV antenatal screening, with "opt-out", was introduced at the Rotunda in January 1998. This paper reviews the screening and subsequent pregnancy management and outcome in HIV positive women from 1998 to 2006. During this time 225 women (280 pregnancies) were HIV positive and 194 women subsequently delivered at the Rotunda, representing 233 liveborn infants. Overall anti-HIV prevalence was 0.42%, increasing from 0.06% in 1998 to 0.57% in 2006. Of 233 livebirths, 111 (48%) were delivered by spontaneous vaginal delivery (SVD). HIV treatment was started pre-pregnancy in 14 (6%) pregnancies and antenatally in 208 (90%). The vertical transmission rate in mothers receiving >4 weeks of treatment was 0%. We conclude that routine antenatal HIV screening is effective and significantly benefits the health of mother and child.
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