Intrapartum fetal invasive procedures and perinatal transmission of HIV

Maiques, Vicente; García‐Tejedor, Amparo; Perales, Alfredo; Navarro, C.

doi:10.1016/s0301-2115(99)00081-0

Cited by 34 publications

(18 citation statements)

References 15 publications

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“…Fetal blood sampling is problematic in diagnosing non-reassuring fetal status for several reasons. Fetal blood sampling is an invasive and uncomfortable procedure, requiring ruptured membranes and incision into the fetal scalp to sample blood, thus exposing the fetus to risk of infection [37]. The procedure requires a high level of training and technical laboratory equipment including real time blood gas analysis [38].…”

Section: Preamblementioning

confidence: 99%

Non-reassuring fetal status: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data

Gravett

Eckert

Gravett

et al. 2016

Vaccine

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Section: Preamblementioning

confidence: 99%

Non-reassuring fetal status: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data

Gravett

Eckert

Gravett

et al. 2016

Vaccine

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“…A high CD4 cell count is associated with a lowered risk of vertical transmission while a low maternal CD4 count is similarly associated with higher transmission risk of HIV. (Boer et al, 2007;Ioannidis et al, 2001;Maiques et al, 1999) The optimism of people on HAART was therefore not misplaced. Furthermore, a number of studies have demonstrated low MTCT in the setting of HAART (Boer et al, 2007;Cohan, 2003).…”

Section: But Since I Began Arvs I Am Back To My Normal Self 'mentioning

confidence: 99%

Considering childbearing in the age of highly active antiretroviral therapy (HAART): Views of HIV-positive couples

Ndlovu

2009

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Objectives : Based on a qualitative study conducted in Bulawayo, Zimbabwe, this article examines how the availability of HAART since April 2004 may impact the views and choices of HIV-positive couples on childbearing. Methods : In-depth interviews were conducted with 15 couples where at least one partner was HIV positive. All respondents were of reproductive age and had or were confronting reproductive and sexual decision-making. Results : HAART seems to have had a profound impact on the subject of childbearing among those who still desire to have children. Where hitherto individuals had only a desire for a child many are now, as a result of the availability of HAART, actively planning to have one. HAART has not only transformed their physical state but it has also transformed mostly what had been desire into intention. The impact, however, has not been uniform. Some respondents still desired to have a child but were not yet convinced about the efficacy of HAART in preventing vertical transmission. Some respondents felt that HAART may have a negative impact on the foetus and as such were against childbearing by HIV-positive people. No respondent indicated that their desire or intention to have a child had been extinguished by the advent of HAART. Conclusion : Based on the findings of the study, HAART seems to have had a differential but nonetheless significant role in the reproductive plans of HIV-positive couples. The study also notes that there is a need to make available complete and unbiased information on HAART, mother-to-child transmission risk (MTCT) and pregnancy to HIV-positive couples so as to enable them to make informed decisions.

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“…In the near future, doctors and midwifes working in the delivery room should be able to monitor the ST segment externally and noninvasively from the maternal abdominal wall [14]. Replacing invasive procedures (internal scalp monitoring and scalp pH) with external monitoring may help prevent rare but potentially serious transmission of disease to the newborn [15,16].…”

Section: Discussionmentioning

confidence: 99%