Opinion Paper

How can we reduce the risk of mother-to-child transmission of HIV during invasive obstetric procedures?

C N Mnyani, E Nicolaou, E Bera, V Black, J C Hull, J A McIntyre
Southern African Journal of HIV Medicine | Vol 12, No 3 | a179 | DOI: https://doi.org/10.4102/sajhivmed.v12i3.179 | © 2011 C N Mnyani, E Nicolaou, E Bera, V Black, J C Hull, J A McIntyre | This work is licensed under CC Attribution 4.0
Submitted: 15 December 2011 | Published: 30 September 2011

About the author(s)

C N Mnyani, Anova Health Institute, South Africa
E Nicolaou, Maternal Fetal Medicine Centre, Morningside MediClnic, University of the Witwatersrand, Johannesburg, Department of Obstetrics and Gynaecology, Chris Hani Baragwanath Academic Hospital, Johannesburg
E Bera, Department of Obstetrics and Gynaecology, Rahima Moosa Mother and Child Hospital, University of the Witwatersrand, Johannesburg
V Black, Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg
J C Hull, Department of Obstetrics and Gynaecology, Chris Hani Baragwanath Academic Hospital, Johannesburg
J A McIntyre, Anova Health Institute, Johannesburg; Centre for Infectious Diseases Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town


Share this article

Bookmark and Share

Abstract

Antenatal invasive obstetric procedures may be diagnostic or therapeutic, and are performed at different stages of pregnancy for various indications. The commonest indication for an invasive procedure during pregnancy is for fetal karyotyping when a chromosomal abnormality or a genetic defect is suspected, either from the couple’s history or from ultrasound assessment of the fetus. Other less common but equally important indications may be diagnostic (fetoscopy, fetal tissue sampling, estimation of fetal haemoglobin) or therapeutic (aspiration of various fetal cavities, fetal blood transfusion and embryo reductions). In a high HIV prevalence setting like South Africa, a significant proportion of pregnant women in need of invasive procedures will be HIV-infected.

Keywords

No related keywords in the metadata.

Metrics

Total abstract views: 1256
Total article views: 6772


Crossref Citations

No related citations found.