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Semin Perinatol. 2007 Apr;31(2):112-23.

Care and management of the infant of the HIV-1-infected mother.

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1
Department of Pharmacology, Yale University School of Medicine, New Haven, CT 06520-8064, USA.

Abstract

Mother-to-child transmission of the human immunodeficiency virus continues to be a major global health problem. The pediatric HIV-1 epidemic is fueled by HIV-1 infection in women of childbearing age with vertical transmission in utero or at the time of birth. In resource-rich countries, the birth of an infected child is a sentinel health event signaling a chain of missed opportunities and barriers to prevention. Because the fate and ultimate HIV-infection status of the baby is inextricably linked to the infection status of the mother and her general state of well-being, we provide in this review: 1) background and state-of-the-art management guidelines for optimum maternal care; 2) strategies to minimize the risk of vertical transmission of HIV; and 3) recommendations for managing infants born to HIV-infected women. These are discussed under four case scenarios that obstetric and pediatric providers frequently encounter in their practices.

PMID:
17462496
DOI:
10.1053/j.semperi.2007.02.007
[Indexed for MEDLINE]
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