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Reminder of important clinical lesson
Case report
Preventive measures to avoid vertical transmission in untreated pregnant women with HIV/AIDS
  1. Sara Rincón Franco1,2,
  2. Montserrat Uriel1,2,
  3. Luis Martín Rodríguez2 and
  4. Ximena Carolina Romero Infante1,2
  1. 1 Faculty of Medicine, Universidad El Bosque Facultad de Medicina, Bogotá, Colombia
  2. 2 Fetal Medicine Unit, Ecodiagnóstico El Bosque S.A.S, Bogotá, Colombia
  1. Correspondence to Professor Ximena Carolina Romero Infante; romeroximena{at}unbosque.edu.co

Abstract

The HIV/AIDS during pregnancy has high morbidity and mortality, without optimal prevention and treatment. The advanced stage cases are found in developing countries due to late detection, but, also in developed countries due to immigration; therefore, the professionals should know the management steps for these patients. The implementation of specific interventions can reduce vertical transmission incidence until 1%–8%. It is presented a case of a pregnant woman with AIDS detected during first hospitalisation, due to a ventilatory failure by opportunistic germs; at the delivery the specific interventions were implemented, being able to eliminate vertical transmission to the newborn. This article explains the four main aspects to be considered for reducing vertical transmission (detection of HIV, viral load levels-CD4 lymphocyte count, way and moment of childbirth and antiretroviral therapy) and shares experiences of the management of an advanced case, in order to help professionals to handle these cases and its complications.

  • HIV/AIDS
  • pregnancy
  • disease and health outcomes
  • materno-fetal medicine
  • neonatal health

https://doi.org/10.1136/bcr-2019-233426

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    Footnotes

    • Contributors SRF, MU, LMR and XCRI planned, designed the article, recollected the information and found the relevant data in the literature for its analysis and interpretation in order to explain in the best way all the important measures to avoid vertical transmisión.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.