[Prenatal care of a HIV-1-positive pregnancy and birth]

M Beichert1, B Buchholz, M Weigel

  • 1Universitätsfrauenklinik, Mannheim. matthias.beichert@gyn.ma.uni-heidelberg.de

Zentralblatt Fur Gynakologie
|December 28, 1999
PubMed

Insights

Preventing mother-to-child human immunodeficiency virus type-1 (HIV-1) transmission is crucial. German centers achieve a 2% transmission rate through comprehensive prenatal care, therapy, and C-sections, significantly reducing infection risks.

Area of Science:

  • Virology
  • Pediatrics
  • Public Health

Context:

  • Mother-to-child (vertical) transmission of human immunodeficiency virus type-1 (HIV-1) is the primary infection route for HIV-positive children globally.
  • In Europe, untreated vertical HIV-1 transmission rates range from 15-20% without interventions like breastfeeding avoidance.

Purpose:

  • To analyze the effectiveness of a comprehensive, multidisciplinary approach in reducing vertical HIV-1 transmission rates in German centers.

Summary:

  • German centers have achieved a remarkably low vertical HIV-1 transmission rate of approximately 2%.
  • This success is attributed to integrated prenatal care, individualized antiretroviral therapy based on risk profiles, elective Cesarean sections before labor onset, and neonatal antiretroviral treatment.
  • These combined strategies significantly mitigate the risk of HIV-1 transmission from mother to child.

Impact:

  • Demonstrates a highly effective model for preventing pediatric HIV-1 infections.
  • Highlights the importance of advanced medical interventions and coordinated care in managing HIV-1 in pregnant individuals and newborns.
  • Offers a benchmark for global efforts to eliminate vertical HIV-1 transmission.

Related Concept Videos

Retrovirus Life Cycles01:10

Retrovirus Life Cycles

Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the retrovirus to...
Rh Blood Group01:19

Rh Blood Group

The Rhesus (Rh) antigen is crucial in determining blood groups and ensuring compatibility during blood transfusions.
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Sexually Transmitted Infections01:26

Sexually Transmitted Infections

Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...