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    HIV testing and treatment in the antenatal care setting.

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    Authors
    Coulter-Smith, S
    Lambert, J S
    Butler, K
    Brennan, M
    Cafferkey, M
    Affiliation
    The Rotunda Hospital, Parnell Sq, Dublin 1.
    Issue Date
    2012-02-01T10:37:44Z
    MeSH
    *Antiretroviral Therapy, Highly Active
    Chi-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
    Show allShow less
    
    Metadata
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    Citation
    Ir Med J. 2010 Jan;103(1):14-7.
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/207712
    PubMed ID
    20222387
    Abstract
    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
    eng
    ISSN
    0332-3102 (Print)
    0332-3102 (Linking)
    Collections
    Rotunda Hospital

    entitlement

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