4 - Obs - Infections in pregnancy - HIV Flashcards
1
Q
Methods to prevent vertical transmission
- maternal ???
- ???
- avoiding ??
- neonatal ???
A
ART
elective c section
BFeeding
ART
2
Q
approx ? pregs / year in UK
>? worldwide
A
1000
10mil
3
Q
Maternal effects - preg has no effect on ? to ?
- incr in ? incidence - poss due to ART
- ??? also more common
A
prog to AIDS
preeclampsia
GDM
4
Q
Fetal effects
- incr risk of ?, ????, stillbirth
- Vertical trans: % if best prophylaxis, 15% with ? - up to 40% if ? area and ?? - incr by early/late disease, low ? or ? viral load, prematurity, other ?, labour, long ? of ?, breastfeeding
A
prematurity IUGR 1 none under-resourced breastfeeding CD4 high infection rupture of membranes
5
Q
MGMT - if resources available….
- ? therapy (continue or start at ? weeks)
- ???
- avoid ?
- trt neonate for ? weeks
- screen for other ?
if poor resources - use ? during ? and for breastfeeding
A
combination 28w El C/s Bfeedng 6 infections nevirapine labour
