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C-section optional if maternal HIV load is low: below 1,000 copies/ml.(Obstetrics)
ATLANTA -- Combination antiretroviral therapy today is sufficiently effective that elective cesarean section is not always required to prevent vertical transmission in HIV-infected pregnant women.
During the 1990s a European randomized clinical trial and a metaanalysis of 15 prospective cohort studies both determined that elective cesarean delivery significantly lowered the risk of maternal-fetal HIV transmission. More recent work, however, taking into account the effects of widespread zidovudine use for the prevention of perinatal transmission, suggests that if the woman's viral load is below 1,000 copies of RNA per mL at the time of delivery there is no difference in risk of transmission between elective cesarean section and vaginal delivery, Dr. Michael K. Lindsay said at a conference on high-risk obstetrics sponsored by Symposia Medicus.
In a study undertaken by the Pediatric AIDS Clinical Trials Group of the National Institute of Child Health and Human Development, 497 HIV-infected women were enrolled and levels of HIV RNA, CD4+ lymphocytes, and p24 antibodies were determined at baseline and delivery. There were no instances of perinatal transmission among women whose HIV RNA ...
- Elective Cesarean Found to Be Cost Effective.
- Magazine article from: OB GYN News BAKER, BARBARA March 15, 2000 700+ words
SAN FRANCISCO -- Elective cesarean section in HIV-positive pregnant...that every dollar spent on elective cesarean section in women who receive...prophylaxis, the added cost of elective cesarean section is $17 per year of...
- Women want to know risks, benefits of elective cesarean.(Women's Health)
- Magazine article from: Family Practice News Kirn, Timothy F. September 1, 2004 700+ words
...reasons women may want a primary elective cesarean delivery is to protect the pelvic...Medicus. The practice of primary elective cesarean has been established and the demand...Dr. Hill tells patients that elective cesarean reduces the rate of stress incontinence...
- Women want to avoid pelvic floor injury: expert outlines risks, benefits of...
- Magazine article from: OB GYN News Kirn, Timothy F. September 1, 2004 700+ words
...physicians support the concept of primary elective cesarean, the practice has been established...said when he talks to patients about elective cesarean, he tells them it reduces the rate...believe the risk of mortality with an elective cesarean is now equivalent to that of vaginal...
- New ACOG opinion addresses elective cesarean controversy.
- Magazine article from: Managed Care Weekly November 24, 2003 700+ words
...ACOG) addresses the controversy of elective cesarean delivery, using it as an example...decision on whether to perform an elective cesarean delivery (also known as "patient...and benefits. In the case of an elective cesarean delivery, if the physician believes...
- Early neonatal outcomes: study shows elective cesarean riskier than vaginal...
- Magazine article from: OB GYN News Worcester, Sharon May 1, 2004 700+ words
NEW ORLEANS -- Neonates born by elective cesarean section are at greater risk of poor...among 117 patients who underwent elective cesarean delivery before the onset of labor...compared with 14% of those from the elective cesarean group (relative risk 3.58...
- Lamaze International Disputes Recommendations on Elective Cesarean Surgery.
- Press release article from: PR Newswire March 29, 2006 700+ words
...of-the-Science Conference on elective cesarean surgery (March 27-29 in Bethesda...research about long-term effects of elective cesarean is "weak." Lamaze International...research, long-term effects of elective cesarean surgery include subsequent infertility...
- Elective Cesarean Lowers HIV Risk.
- Magazine article from: Family Planning Perspectives Hollander, Dore March 1, 1999 700+ words
...dramatically reduced if she undergoes an elective cesarean, according to results of a meta...newborn. The risk is even lower when elective cesarean is coupled with a standard regimen...analysts point out that the benefit of elective cesarean must be weighed against its potential...
- Incontinence and elective cesarean delivery.(Abstracts)
- Magazine article from: Urologic Nursing Quallich, Susanne A. December 1, 2003 700+ words
...urinary and anal incontinence: Role of elective cesarean delivery. Current Opinion in Obstetrics...Many sources have begun to advocate elective cesarean births as an effective means to decrease...risk of vaginal birth compared with elective cesarean, and so cautioned against ...
- Should primary elective cesarean section be performed on demand in the absence...
- Magazine article from: OB GYN News October 15, 1999 700+ words
Should primary elective cesarean section be performed on demand...between the risks of primary elective cesarean section and a trial of labor...s standpoint, a primary elective cesarean that requires a 5-minute...
- Intrapartum elective cesarean delivery increasingly being offered.
- Magazine article from: Managed Care Weekly August 16, 2004 700+ words
...dimension of patient-choice cesarean delivery - intrapartum elective cesarean delivery," said the study authors. "We found that about...study documents the clinical importance of intrapartum elective cesarean delivery and points the way towards much needed research...
Source: HighBeam Research, C-section optional if maternal HIV load is low: below 1,000...