HIV Infection in Pregnant Women: A 2020 Update.

Abstract:

:Acquired immunodeficiency syndrome (AIDS) was first described in 1981, and continues to be one of the worst global health pandemics in recorded history. Concerted international efforts have helped to increase awareness of human immunodeficiency (HIV) status, improve access to treatment and continuation of therapy to achieve viral suppression with a goal of ending the AIDS epidemic by 2030. The clinical outcomes for patients living with HIV on combined antiretroviral therapy are considerably improved with prolonged life expectancy and superior quality of life. Further, perinatal transmission rates have dramatically decreased with elimination of mother to child transmission of HIV in a growing number of countries worldwide. However, there have been significant reductions in the pace of progress in treatment expansion for pregnant women with failure to meet global targets in 2018. In this review, we will highlight recent advances and challenges ahead in 2020 for three areas of perinatal care for women with HIV in developed countries: (a) pregnancy planning considerations, (b) impact of antiviral medications on perinatal outcomes, and (c) infant feeding practices. The promise of a HIV-free generation is on the horizon and continued international efforts in preventing perinatal transmission are an important component of this achievement.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Harris K,Yudin MH

doi

10.1002/pd.5769

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1715-1721

issue

13

eissn

0197-3851

issn

1097-0223

journal_volume

40

pub_type

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    abstract::A case of aortic atresia with insufficiency of mitral valve diagnosed prenatally at 33 weeks of gestation is presented. An accurate diagnosis of this fetal cardiovascular malformation was possible by application of Doppler colour flow mapping, which demonstrated (a) the absence of forward flow in the hypoplastic ascen...

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    authors: Gembruch U,Chatterjee M,Bald R,Eldering G,Göcke H,Urban AE,Hansmann M

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  • Preimplantation genetic diagnosis for single gene disorders: experience with five single gene disorders.

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  • Short femur length associated with severe intrauterine growth retardation.

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    authors: Peleg L,Ries L,Getslev V,Lusky A,Chaki R,Lipitz S,Barkai G

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  • Fetal pleural effusion.

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    doi:10.1002/pd.1970120307

    authors: Silver RK,MacGregor SN,Hobart ED

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    abstract::Fetal and neonatal alloimmune thrombocytopenia (FNAIT) is a potentially devastating condition, which may lead to intracranial haemorrhage (ICH) in the fetus or neonate, often with death or major neurological damage as consequence. In the absence of screening, preventive measures are only possible in the next pregnancy...

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    doi:10.1002/pd.2779

    authors: Kamphuis MM,Oepkes D

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    journal_title:Prenatal diagnosis

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    doi:10.1002/(SICI)1097-0223(199605)16:5<425::AID-PD874

    authors: Goel V,Glazier R,Holzapfel S,Pugh P,Summers A

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  • The association of increased fetal nuchal translucency and spinal muscular atrophy type I.

    abstract::We report a fetus with spinal muscular atrophy type I, who presented with an increased nuchal translucency at 13 weeks' gestation. A review of the literature reveals additional cases of spinal muscular atrophy type I associated with increased nuchal translucency and suggests increased nuchal translucency may be an ear...

    journal_title:Prenatal diagnosis

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    doi:

    authors: Stiller RJ,Lieberson D,Herzlinger R,Siddiqui D,Laifer SA,Whetham JC

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    pub_type: 杂志文章,评审

    doi:10.1002/pd.307

    authors: Shipp TD,Benacerraf BR

    更新日期:2002-04-01 00:00:00

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    authors: Kuppermann M,Nease RF Jr,Gates E,Learman LA,Blumberg B,Gildengorin V,Washington AE

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    journal_title:Prenatal diagnosis

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    authors: Lohmann L,Chelloug N,Rosales B,Guérin C,Lyonnet S,Jonveaux P,Simon-Bouy B

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  • Prenatal diagnosis of Apert syndrome.

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    pub_type: 杂志文章,meta分析,评审

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    pub_type: 杂志文章

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    doi:

    authors: van der Zee DC,Bax KM,Vermeij-Keers C

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