HIV Carriers with the Decrease of CD4 Level in Pregnancy, Report of 4 Cases and the Study of the Perinatal Infection.

概要

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Since the incidence of HIV carrier has recently increased, obstetricians have a possibility to examine pregnant womem with a infection of HIV. We report the obstetric course of 4 cases in our hospital and the perinatal infection and the marital infection.CD 4 level was lower in all 4 cases. Case I (31 y. Japanese, 0-P): termination of pregnancy in first trimester. Case II (25 y. Foreigner, 1-P): termination of pregnancy in second trimester. Case III (22 y. Foreigner, 0-P) and Case IV (23 y. Foreigner, 1-P): delivery with cesarean section in third trimester. In summary, (1) Termination of the pregnancy may be indicated because of the prevention of the perinatal infection (Case I and II ). (2) The delivery with caesarean section is recommended to prevent the vaginal infection and the bottle feeding is better owing to the prevention of the infection via a mother's milk (Case III and IV) . (3) AZT should be carefully treated becauseof the uncertainly of its side effect for a mother and a fetus (Case III and IV) . (4) There were no infection from wife to husband in the Case II and IV. Therefore, We hope that the mechanism should be clarified in future.
一般社団法人国立医療学会の論文