Affiliation
The Rotunda Hospital, Parnell Sq, Dublin 1.Issue Date
2012-02-01T10:37:44ZMeSH
*Antiretroviral Therapy, Highly ActiveChi-Square Distribution
Female
HIV Infections/*diagnosis/*drug therapy/epidemiology
Humans
Infectious Disease Transmission, Vertical/*prevention & control
Ireland/epidemiology
Pregnancy
Pregnancy Complications, Infectious/*diagnosis/*drug therapy
Pregnancy Outcome
Prenatal Care/*methods
Retrospective Studies
Risk Assessment
Metadata
Show full item recordCitation
Ir Med J. 2010 Jan;103(1):14-7.Journal
Irish medical journalPubMed ID
20222387Abstract
Routine 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.Language
engISSN
0332-3102 (Print)0332-3102 (Linking)