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Maternal health, child health, prenatal care, AIDS

Anna Maria Doro Altan, Francis Taafo, François Fopa, Ersilia Buonomo, Maria Cristina Marazzi, Karin Nielsen-Saines, Stefano Orlando, Paola Scarcella, Fausto Ciccacci, Sandro Mancinelli, Massimo Magnano San Lio, Leonardo Palombi
INTRODUCTION: Scaling up of antiretroviral therapy (ART) to HIV+ pregnant women is crucial for the elimination of HIV infection in children. The aim of this study was to evaluate the feasibility and effectiveness of triple ART for Prevention of Mother-to Child Transmission (PMTCT) in Cameroon. METHODS: HIV-positive pregnant women attending the DREAM Centre of Dschang, Cameroon for prenatal care were enrolled in a prospective cohort study, and received ART until the end of breastfeeding or indefinitely if their CD4 count was <350mm(3)...
2016: Pan African Medical Journal
Ingrid T Katz, Erin Leister, Deborah Kacanek, Michael D Hughes, Arlene Bardeguez, Elizabeth Livingston, Alice Stek, David E Shapiro, Ruth Tuomala
BACKGROUND: A high delivery maternal plasma HIV-1 RNA level (viral load [VL]) is a risk factor for mother-to-child transmission and poor maternal health. OBJECTIVE: To identify factors associated with detectable VL at delivery despite initiation of highly active antiretroviral therapy (HAART) during pregnancy. DESIGN: Multicenter observational study. ( NCT00028145). SETTING: 67 U.S. AIDS clinical research sites...
January 20, 2015: Annals of Internal Medicine
Li Chen, Yaohua Dai, Yanfeng Zhang, Qiong Wu, Diana Rudan, Vanja Saftić, Michelle H M M T van Velthoven, Jianqiang Su, Zangwen Tan, Robert W Scherpbier
AIM: To evaluate the quality of antenatal care (ANC) in Hebei Province and compare it between the public and private sector and within the public sector. METHODS: We conducted a Maternal, Newborn and Child Health Household Survey in 2010 using a two-stage sampling procedure and included 1079 mothers. The quality of ANC was assessed on the basis of the number of ANC visits, the time of the first ANC visit, 16 different ANC procedures, owning a maternal health care booklet, and the type of service provider...
April 2013: Croatian Medical Journal
Marelign Tilahun Malaju, Getu Degu Alene
BACKGROUND: Detection of maternal HIV infection early in pregnancy is critical for prevention of mother to child transmission of HIV/AIDS. Most efforts have focused on VCT as the primary means of encouraging people to become aware of their HIV status. However, its uptake is low in many parts of sub-Saharan Africa including Ethiopia. Provider-initiated HIV testing and counseling provides a critical opportunity to diagnose HIV infection, to begin chronic care, and to prevent mother to child transmission...
2012: BMC Public Health
Keila Correia Alcântara, Janaína Bacelar Accioli Lins, Maly Albuquerque, Letícia Mara Aires, Ludimila Paula Vaz Cardoso, Ana Lúcia Minuzzi, Mariane Martins Araújo Stefani
BACKGROUND: A high-coverage public health prenatal program (70,000 women/year) from central western Brazil/Goias State has represented a unique opportunity for the early diagnosis of HIV-1 and implementation of strategies to prevent mother-to-child transmission (MTCT). OBJECTIVES: To investigate MTCT among a prospective cohort of HIV-1 infected mothers/exposed infants. STUDY DESIGN: 142 mothers/their 149 infants (2008-2010) were investigated regarding maternal viral load, CD4(+)cell counts, HIV-1 pol sequences; infants' HIV-1 RNA tests (30/120 days), sequential anti-HIV-1/2 serology...
May 2012: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
Alberto N Ramos, Luiza H Matida, Norman Hearst, Fabíola Araújo Oliveira, Jorg Heukelbach
Pregnancies in women without knowledge of their HIV-positive status increase the risk of mother-to-child transmission, and of disease progression. This study aimed to characterize the frequency of multiple pregnancies and of HIV-positive children in the family, during HAART era. We analyzed data of a national multicenter cohort study among Brazilian children with AIDS diagnosed between 1999 and 2002. In total, 945 children and their 928 mothers were included. Five hundred and ninety (64.6%) women had a history of multiple pregnancies, and 49...
2012: AIDS Care
Xinguang Chen, Bonita Stanton, John Hopper, Nikhil Khankari
INTRODUCTION: The purpose of this study was to determine the levels, sources, and locations of and influential factors for exposure to environmental tobacco smoke (ETS) among pediatric patients from inner-city families. METHOD: Descriptive and associative analysis of ETS exposure in children 6 to 10 years of age was performed with survey data collected at Children's Hospital of Michigan through mothers' report and children's urine cotinine. RESULTS: The sample included 397 participants, 82...
November 2011: Journal of Pediatric Health Care
Harriet Birungi, Francis Obare, Anke van der Kwaak, Jane Harriet Namwebya
CONTEXT: Given the health risks of HIV/AIDS and the risks of teenage pregnancy in general, pregnant HIV-positive adolescents in Kenya need maternal health care services that account for their HIV status. However, research on their access to and use of these services is scant. METHODS: To examine maternal health care utilization, pregnancy history data collected in 2009 on 506 pregnancies among 393 HIV-positive female adolescents aged 15-19 enrolled in HIV/AIDS programs in Kenya were analyzed...
September 2011: International Perspectives on Sexual and Reproductive Health
Rajesh Kumar Rai, Ally Ahmed Ramadhan, Theodore Herzl Tulchinsky
With its independence secured on 9th July 2011, the Republic of South Sudan faces a daunting task to improve public health and primary care in one of the poorest countries in the world. Very high maternal and child mortality rates must be a major concern for the new national government and for the many international agencies working in the country. Poor maternal health outcomes are primarily due to poor prenatal, delivery and post natal care services in health facilities, coupled with low literacy, widespread poverty, and poor nutrition among the general population...
August 2012: Maternal and Child Health Journal
Christina M Hernández
The purpose of this article is to describe possible reasons for the increase in HIV/AIDS among childbearing Hispanic/Latinas and to discuss the implications for maternal child nurses. The median age of Hispanic/Latinas is 27 years compared to 36 years for all other races combined. Hispanic/Latinas have the highest birth rate among all women in the United States; they also have a five times greater rate of HIV/AIDS infection compared to non-Hispanic White women. Most commonly, Hispanic/Latina women first discover their HIV status when they receive prenatal care...
November 2011: MCN. the American Journal of Maternal Child Nursing
Alyson F Shapiro, Judy Krysik, Amy L Pennar
Despite substantial research documenting the importance of father-child relations, little is known about fathers in families considered at risk for child abuse, and this lack of information makes adequate targeting of fathers in interventions challenging. This research aims to provide information that will aid interventions in targeting fathers and addressing father-related family issues through: (a) providing descriptive information regarding fathers in families at risk for child abuse, and (b) examining aspects of family well-being relative to father involvement...
July 2011: American Journal of Orthopsychiatry
Thérèse Delvaux, Sovannarith Samreth, Magdalena Barr-DiChiara, Nicole Seguy, Katherine Guerra, Bora Ngauv, Vichea Ouk, Marie Laga, Chhivun Mean
OBJECTIVES: To describe the implementation and results of the linked response (LR) in Cambodia after 18 months of follow-up. METHODS: The main objectives of the LR are to increase access to sexually transmitted infection/HIV prevention, testing, care, and treatment and to strengthen existing reproductive health services through increased linkages within and between public health facilities and community-based services. The LR was piloted in Cambodia in 2008, in 2 demonstration projects, covering 5 operational districts...
July 1, 2011: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Adam Aluisio, Barbra A Richardson, Rose Bosire, Grace John-Stewart, Dorothy Mbori-Ngacha, Carey Farquhar
OBJECTIVE: To investigate the relationship between male involvement in prevention of mother-to-child HIV transmission services and infant HIV acquisition and mortality, a prospective cohort study was undertaken between 1999 and 2005 in Nairobi, Kenya. METHODS: HIV-infected pregnant women were enrolled and followed with their infants for 1 year with infant HIV DNA testing at birth, 1, 3, 6, 9, and 12 months postpartum. Women were encouraged to invite male partners for prevention counseling and HIV testing...
January 1, 2011: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Regina Célia de Souza Campos Fernandes, Gustavo Fernandes Ribas, Danielli Pires e Silva, Alexandre Machado Gomes, Enrique Medina-Acosta
OBJECTIVE: To determine impediments to the effective reduction of maternal-infant transmission of HIV in the municipality of Campos dos Goytacazes, RJ, Brazil. METHODS: This is a cohort study, with medical follow-up, of pregnant women with confirmed diagnosis of HIV infection, and their infant children, assisted at the Municipal Specialized Service of Sexually Transmitted Diseases/AIDS from January 2004 to April 2007. Information regarding exposure and outcome variables was collected from their medical records...
November 2010: Jornal de Pediatria
Guthrie S Birkhead, Wendy P Pulver, Barbara L Warren, Susan J Klein, Monica M Parker, Michele Caggana, Lou C Smith
OBJECTIVES: To assess the outcomes of efforts to prevent mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) made over the last 2 decades in New York State (NYS), through review of data from multiple sources. METHODS: Using available surveillance, laboratory, and program monitoring data, the following were examined for NYS: (1) the rate of prenatal HIV testing, (2) HIV prevalence among childbearing women, (3) maternal prenatal and delivery care, (4) care of HIV-exposed infants, and (5) the rate of MTCT...
November 2010: Journal of Public Health Management and Practice: JPHMP
Valdiléa G Veloso, Francisco I Bastos, Margareth Crisóstomo Portela, Beatriz Grinsztejn, Esau Custodio João, Jose Henrique da Silva Pilotto, Ana Beatriz Busch Araújo, Breno Riegel Santos, Rosana Campos da Fonseca, Regis Kreitchmann, Monica Derrico, Ruth Khalili Friedman, Cynthia B Cunha, Mariza Gonçalves Morgado, Karin Nielsen Saines, Yvonne J Bryson
OBJECTIVE: To assess the feasibility of HIV rapid testing for pregnant women at maternity hospital admission and of subsequent interventions to reduce perinatal HIV transmission. METHODS: Study based on a convenience sample of women unaware of their HIV serostatus when they were admitted to delivery in public maternity hospitals in Rio de Janeiro and Porto Alegre, Brazil, between March 2000 and April 2002. Women were counseled and tested using the Determine HIV1/2 Rapid Test...
October 2010: Revista de Saúde Pública
Wouhabe Marai Bancheno, Fabian Mwanyumba, Joyce Mareverwa
To mitigate the negative impacts of HIV infection on pregnant women and their children, comprehensive services to prevent mother to child transmission are required. We report the outcomes and challenges of a comprehensive service to prevent mother to child transmission of HIV infection implemented from January to December 2007 in a referral hospital and its rollout clinics in rural Swaziland, Southern Africa. We reviewed monthly reports, hospital registers, and field diaries and interviewed 64 service providers...
September 2010: AIDS Care
Andrea B Pembe, Anders Carlstedt, David P Urassa, Gunilla Lindmark, Lennarth Nyström, Elisabeth Darj
BACKGROUND: The high rate of antenatal care attendance in sub-Saharan Africa, should facilitate provision of information on signs of potential pregnancy complications. The aim of this study was to assess quality of antenatal care with respect to providers' counselling of pregnancy danger signs in Rufiji district, Tanzania. METHODS: A cross-sectional study was conducted in 18 primary health facilities. Thirty two providers were observed providing antenatal care to 438 pregnant women...
2010: BMC Pregnancy and Childbirth
Yoav Yinon, Dan Farine, Mark H Yudin
OBJECTIVES: To review the principles of prenatal diagnosis of congenital cytomegalovirus (CMV) infection and to describe the outcomes of the affected pregnancies. OUTCOMES: Effective management of fetal infection following primary and secondary maternal CMV infection during pregnancy. Neonatal signs include intrauterine growth restriction (IUGR), microcephaly, hepatosplenomegaly, petechiae, jaundice, chorioretinitis, thrombocytopenia and anemia, and long-term sequelae consist of sensorineural hearing loss, mental retardation, delay of psychomotor development, and visual impairment...
April 2010: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
David L Olds, Harriet J Kitzman, Robert E Cole, Carole A Hanks, Kimberly J Arcoleo, Elizabeth A Anson, Dennis W Luckey, Michael D Knudtson, Charles R Henderson, Jessica Bondy, Amanda J Stevenson
OBJECTIVE: To test, among an urban primarily African American sample, the effects of prenatal and infancy home visiting by nurses on mothers' fertility, partner relationships, and economic self-sufficiency and on government spending through age 12 years of their firstborn child. DESIGN: Randomized controlled trial. SETTING: Public system of obstetric and pediatric care in Memphis, Tennessee. PARTICIPANTS: A total of 594 urban primarily African American economically disadvantaged mothers (among 743 who registered during pregnancy)...
May 2010: Archives of Pediatrics & Adolescent Medicine
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