Abstract |
Reducing child and maternal mortality are important UN Millennium Development Goals. The AIDS epidemic, which is targeted in another Millennium Development Goal, has a negative influence on child and maternal health. Although on a mondial level, the influence of HIV/ AIDS on child and maternal mortality appears to be slight, HIV/ AIDS constitutes a significant factor in Sub-Saharan Africa. In the Netherlands, the introduction of aggressive antiretroviral therapy has reduced the chance of vertical transmission to < 1%. In low-wage countries, financial means and political commitment for similar handling are lacking. Possible strategies for the prevention of vertical transmission for these countries are as follows: multivitamin supplements during pregnancy, prophylaxis against opportune infections with cotrimoxazol, a vaginal douche with chlorhexidine for cases where the membranes have ruptured more than 4 hours previously, and a single dose of nevirapine.
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Authors | J van Dillen, J Stekelenburg, J van Roosmalen |
Journal | Nederlands tijdschrift voor geneeskunde
(Ned Tijdschr Geneeskd)
Vol. 150
Issue 25
Pg. 1413-7
(Jun 24 2006)
ISSN: 0028-2162 [Print] Netherlands |
Vernacular Title | Het Millennium-project van de Verenigde Naties; in het bijzonder preventie en behandeling van hiv-infectie en aids om kinder- en moedersterfte te reduceren. |
PMID | 16841592
(Publication Type: English Abstract, Journal Article, Review)
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Chemical References |
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Topics |
- Acquired Immunodeficiency Syndrome
(drug therapy, mortality, prevention & control, transmission)
- Anti-HIV Agents
(therapeutic use)
- Female
- HIV Infections
(drug therapy, mortality, prevention & control, transmission)
- Humans
- Infant Mortality
- Infant, Newborn
- Infectious Disease Transmission, Vertical
(prevention & control)
- Maternal Mortality
- Pregnancy
- Pregnancy Complications, Infectious
(drug therapy, mortality, prevention & control)
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