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Treatment urged for all pregnant HIV patients.(Obstetrics)
HOUSTON -- Pregnant women should be treated for human immunodeficiency virus infections even if they are asymptomatic with normal CD4 counts and have a low viral load, said Hunter A. Hammill, M.D.
Pregnancy itself does not affect the course of the disease. The woman's condition will not become worse, but the baby is at risk, he said at a conference on vulvovaginal diseases sponsored by Baylor College of Medicine.
"Optimum therapy should be offered to minimize vertical transmission to the infant," said Dr. Hammill of the college.
Infants of HIV-positive mothers will test positive for 6-8 weeks after birth. Without treatment, about one-third will be infected and remain positive. Breast-feeding can increase the vertical infection rate by 20%.
Studies summarized by Dr. Hammill have reported transmission rates of less than 1%-13% when various therapies were tested in pregnant women. "My series is now down to less than a tenth of a percent vertical transmission with vaginal delivery when treating with HAART [Highly Active Antiretroviral Therapy]," he said.
Dr. Hammill urged practitioners to get up to date on new antiretroviral treatments. About 30 different treatment options are ...
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Source: HighBeam Research, Treatment urged for all pregnant HIV patients.(Obstetrics)