The Role of the Obstetrician-Gynecologist in AIDS Prevention: The American Experience

摘要: The obstetrician-gynecologist is uniquely positioned to have a significant role in HIV prevention, two ways. First, as the primary and often only health care system contact for women reproductive age group, sees these variety of circumstances ranging from family planning, preconceptional, prenatal, post partum, routine annual examinations, more. Each occasions provides opportunity, most conducive setting, review social, sexual, other relevant history, offer education, counselling, testing if appropriate. Second, perhaps many ways more exciting, we opportunity significantly reduce rate vertical transmission, can counsel identify pregnant treat them with AZT demonstrated 076 study. In first instance, it extremely difficult measure impact our efforts on behavior patients specifically assign credit any reduction number new infections. contrast, case perinatal demonstration positive results was so dramatic cause monitors AIDS Clinical Trials Group study abandon controlled trial February 1994 recommend use this purpose. transmission study, conducted primarily United States (and one site France), reduced 25.5% 8.3%. [1,2] Although not likely continue, approach own institution are even striking, infected neonate last forty born HIV-infected mothers who received according protocol.