Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
8970
|
| pubmed:dateCreated |
1995-9-7
|
| pubmed:abstractText |
What is it like to practise obstetrics and gynaecology in a country with a high prevalence of HIV infection? My experience relates especially to Zimbabwe, but the same factors apply equally well to Zambia, Zaire, Uganda, Kenya, Tanzania, Malawi, and Mozambique. Within a population of 11 million in Zimbabwe, at least 1 million are HIV positive according to the official figures. AIDS often means "home-based care"; the nearest clinic or hospital, which has very little to offer, may be 3 hours away by wheelbarrow. Many patients who die with chronic diarrhoea lack a piped water supply nearby, an indoor toilet, or even a waterproof sheet. Every year in Zimbabwe there are 120,000 confinements of HIV-positive women compared with 7000 HIV-positive pregnancies in the USA. Transmission of the virus in Africa is mainly heterosexual and vertical, although blood transfusion still plays a part. Intravenous drug use is not a problem but alcohol is, by way of promoting risky behaviour. A secondary epidemic of tuberculosis (TB) (also among HIV-negative persons) adds to the difficulties in sub-Saharan Africa.
|
| pubmed:commentsCorrections | |
| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Acquired Immunodeficiency Syndrome,
http://linkedlifedata.com/resource/pubmed/keyword/Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara,
http://linkedlifedata.com/resource/pubmed/keyword/Contraception,
http://linkedlifedata.com/resource/pubmed/keyword/DELIVERY,
http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Eastern Africa,
http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Family Planning,
http://linkedlifedata.com/resource/pubmed/keyword/Fetus,
http://linkedlifedata.com/resource/pubmed/keyword/GYNECOLOGY,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/Health Services,
http://linkedlifedata.com/resource/pubmed/keyword/Hiv Infections,
http://linkedlifedata.com/resource/pubmed/keyword/Medicine,
http://linkedlifedata.com/resource/pubmed/keyword/OBSTETRICS,
http://linkedlifedata.com/resource/pubmed/keyword/Pregnancy,
http://linkedlifedata.com/resource/pubmed/keyword/Pregnancy Outcomes,
http://linkedlifedata.com/resource/pubmed/keyword/Reproduction,
http://linkedlifedata.com/resource/pubmed/keyword/Viral Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Zimbabwe
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jul
|
| pubmed:issn |
0140-6736
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
29
|
| pubmed:volume |
346
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
293-6
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:otherAbstract |
PIP: In Zimbabwe, there are about 120,000 pregnancies involving women infected with human immunodeficiency virus (HIV) each year--a finding that has major implications for the practice of gynecology and obstetrics in the country. For financial, cultural, and psychological reasons, HIV screening is not provided routinely to pregnant women in Africa. About 28% of infants of HIV-positive mothers are infected in utero (20% during labor) and an additional 14% are infected by breast feeding. To minimize vertical transmission of HIV, obstetricians are urged to avoid blood transfusions during delivery, clamp the umbilical cord as early as possible, use rubber cap vacuum extractors that prevent head abrasions, modify cesarean section techniques to reduce contact with maternal blood, and wipe rather than suction blood from the newborn's face. After delivery, HIV-infected women are at increased risk of puerperal sepsis, massive condylomata acuminata, fever, wasting, and mortality. No guidelines have been developed for the feeding of infants of HIV-infected mothers since formula is prohibitively expensive. Most African couples resist HIV testing. However, in cases where one or both partners are known to be infected, condoms, long-acting injectable contraception, or sterilization should be considered.
|
| pubmed:meshHeading |
pubmed-meshheading:7630253-Adolescent,
pubmed-meshheading:7630253-Adult,
pubmed-meshheading:7630253-Contact Tracing,
pubmed-meshheading:7630253-Contraception,
pubmed-meshheading:7630253-Family Planning Services,
pubmed-meshheading:7630253-Female,
pubmed-meshheading:7630253-Gynecology,
pubmed-meshheading:7630253-HIV Antibodies,
pubmed-meshheading:7630253-HIV Infections,
pubmed-meshheading:7630253-HIV Seroprevalence,
pubmed-meshheading:7630253-HIV-1,
pubmed-meshheading:7630253-Humans,
pubmed-meshheading:7630253-Obstetrics,
pubmed-meshheading:7630253-Zimbabwe
|
| pubmed:year |
1995
|
| pubmed:articleTitle |
Practising obstetrics and gynaecology in areas with a high prevalence of HIV infection.
|
| pubmed:publicationType |
Journal Article
|