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  • Title: Preventing HIV transmission during pregnancy and delivery: a review.
    Author: Sherr L.
    Journal: AIDS STD Health Promot Exch; 1997; (4):4-6. PubMed ID: 12348385.
    Abstract:
    Without significant reductions in maternal-infant HIV transmission, infant mortality may increase by as much as 75%. This article reviews briefly the range of interventions that have been proposed to prevent HIV transmission during pregnancy and delivery. These include the provision of HIV/AIDS counseling in family planning programs, promotion of consistent condom use, vitamin A supplementation during pregnancy, adequate prenatal care, Cesarean section delivery, vaginal lavage, and zidovudine treatment. The efficacy of mandatory HIV testing of pregnant women and zidovudine administration to HIV-positive pregnant women has not been confirmed, but both strategies should be available. Antenatal screening for this purpose should be promoted, however, only if free drug treatment for the mother and child can be offered for at least 2 years (the 9 months of pregnancy and the 18 months until the infant can be tested for HIV). Although HIV-infected pregnant women should have the option of induced abortion, termination should never be coerced. Only 10% of HIV-infected pregnant women select this option, and those who do tend to have another pregnancy within the next 2 years.
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