Hiv and pregnancy


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  • @AsoOko thank you for sharing ur story ,,
    Did this dr. Oko publish his research ? I would love to read about his medicine
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  • i want to thank dr oririoko for the herbal hiv medicine he gave to me and my daughter, i was suffering from hiv when i gave birth to my daughter and that was how my daughter got the sickness indirect from me, but to God be the glory that i am heal with the herbal medicine that DR Oko gave to me when i contacted him. i want to use this medium to tell everyone that the solution to our sickness has come, so i will like you to contact this great healer on his email address: with him all your pains will be gone, i am really happy today that i and my daughter are cured of hiv, we are now negative after the use of his medicine,my doctor confirm it.
    once more i say a big thank to you Dr oririoko for healing hands upon my life and my daughter, i say may God continue to bless you abundantly and give you more power to keep helping those that want your help in their lives. email him now he is waiting to receive you.
    once again his email
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Hiv and pregnancy

  1. 1. Fatima Al-Awadh
  2. 2. OBJECTIVES  Mother to child transmission. Effect of HIV on pregnancy Effect of pregnancy on HIV Management complications
  3. 3. Statistics  The management of HIV infection during pregnancy is complex. In 2005, UNAIDS (the Joint United Nations Program on HIV/AIDS) estimated that 38.6 million people had HIV, of whom 17.3 million were women (with most being in their reproductive years). At least 3.28 million pregnant women infected with HIV are estimated to give birth each year, with more than 75% of these in sub-Saharan Africa; this is where most of the annual 700000 new infections of HIV in children occur.
  4. 4. Mother to child transmission 
  5. 5. Timing of mother to child transmission  Perinatal transmission of HIV can occur in *utero *during labor and delivery, *postnatally through breastfeeding. Most transmission occurs during the intrapartum period.
  6. 6. Factors affecting mother to child transmission Maternal stage of diseaseDuration of rupture of membranesIncreased genital secretion of HIVPrematuritySophistication (2% developed world - 30% developing world )
  7. 7. Prevention Large randomized  controlled studies have shown that mother to child Anti-retroviral therapy. transmission can be reduced by the following ways. Elective caesarean section. Exclusive formula feeding.
  8. 8. Effects of HIV and pregnancy on each otherManagement, complications 
  9. 9. How does pregnancy affect progression of HIV disease?  Pregnancy does not adversely affect HIV progression or survival. Dual infection has been associated with increased risk of maternal, perinatal, and early infant death. The decline in the CD4 cell count during pregnancy normally resolves in the postpartum period and is attributed to haemodilution.
  10. 10. How does HIV affect pregnancy and pregnancy outcomes?  • increased spontaneous • reduce fertility, conceivingPregnancy abortion irrespective of stage of • Stillbirth infection • perinatal and infant • larger intervals between mortality pregnancies Intrauterine growth • association between retardation high viral loads and • low birth weight difficulty in conceiving. • chorioamnionitis.
  11. 11. How can HIV be managed in pregnancy?  Antenatal care provides an opportunity to counsel pregnant women about HIV risk and testing. IN women who know, pre- pregnancy counseling optimize care and minimize adverse outcomes. Laboratory investigations, in addition to routine pregnancy tests, should include liver function, CBC (including platelet count and lymphocyte subsets), plasma HIV RNA viral load, and screening for sexually transmitted infections. Antiretroviral therapy can be used in pregnancy , when indicated as an ongoing treatment for maternal health, the choice should ensure that maternal side effects and risks to the infants are minimized. When antiretroviral therapy is used for preventing mother to child transmission, regimens range from the use of triple antiretroviral therapy to zidovudine started antenatally, with or without peripartum nevirapine. Post- exposure prophylaxis should be started at birth .
  12. 12. Postpartum complications In most HIV positive women, the postnatal course will beuncomplicated and no special medical care will be needed.Postpartum complications encountered include:  puerperal sepsis  infected episiotomies  massive condylomata acuminata  urinary tract infections  pneumonia  Fever  Tuberculosis  unusual infections.
  13. 13. REFERANCE  865425/