Full Description
AIDS continually presents new questions for the obstetrician and gynecologist. The effect on pregnancy, the possibility of perinatal transmission, HIV positive tests, and risk to staff are just a few of the issues confronting clinicians and practitioners today. These and other questions were addressed by the 19th Study Group of the Royal College of Obstetricians and Gynaecologists, whose findings are reported here.
Contents
Section I — Epidemiology and Virology.- Virology.- The global patterns and prevalence of HIV infection in women.- Prediction of trends in AIDS incidence.- Discussion.- Heterosexual transmission of HIV.- Effects of human seminal plasma on the lymphocyte response to viral infection.- Discussion.- Section II — Natural History.- The impact of pregnancy on HIV-related disease.- Infants born to mothers seropositive for HIV: results from the ongoing European Collaborative Study.- Paediatric AIDS in Uganda from materno-fetal infection.- Discussion.- HIV-1 infection in infants: practical laboratory diagnosis.- Subsequent care of infants of HIV positive mothers.- Discussion.- Section III — Obstetric Management Problems.- Methods and reliability of antenatal diagnosis (including the effect of passive immunisation).- Antenatal HIV screening—ethical considerations.- Discussion.- Counselling the HIV positive pregnant woman.- Termination of pregnancy.- Discussion.- Consumers' concerns about AIDS.- Section IV — Obstetric Care.- Changes in routine antenatal and postnatal inpatient practice.- Safety of invasive procedures in diagnostic antenatal and intrapartum care.- Special precautions in delivery suites and operating theatres for normal labour and delivery and operative delivery including episiotomy.- Discussion.- Maternal resuscitation, haemorrhage and shock—the obstetrician's viewpoint.- Maternal resuscitation, haemorrhage and shock—the anaesthetist's viewpoint.- Discussion.- Section V — HIV and Health Care Workers.- Risk of transmission to other patients and staff.- HIV-infected health care workers.- Discussion.- Human immunodeficiency virus and blood transfusion.- Discussion.- Section VI — Neonatal Problems.- AIDS and neonatal resuscitation.- Care of thenormal newborn of the HIV positive mother.- Discussion.- Implications of human immunodeficiency virus infection for neonatal intensive care.- Discussion.- AIDS and human milk banking.- Breastfeeding and human milk banks—a midwife's viewpoint.- Discussion.- Section VII — Gynaecology and Handling of Specimens.- Gynaecological surgery.- AIDS and barriers.- Infertility and AIDS.- Discussion.- Counselling on safer sex.- Preconceptional counselling.- Discussion.- Conclusions.
