By Dr D. J. Jeffries (auth.), Professor Frank Sharp MD, FRCOG, Christopher Neville Hudson FRCS, FRCOG (eds.)
AIDS continuously offers new questions for the obstetrician and gynecologist. The impression on being pregnant, the potential for perinatal transmission, HIV confident assessments, and danger to employees are only some of the concerns confronting clinicians and practitioners at the present time. those and different questions have been addressed via the nineteenth examine crew of the Royal collage of Obstetricians and Gynaecologists, whose findings are pronounced here.
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Extra resources for AIDS and Obstetrics and Gynaecology
Global patterns and prevalence 21 CONCLUSION A considerable amount of data and many estimates based on somewhat convoluted extrapolations have been presented. However. the conclusion which can be firmly drawn from these data and estimates is that whatever the actual numbers. the problem of HIV infection in women and thus of perinatal HIV infection leading to paediatric AIDS cases will be an increasing problem worldwide. especially in Patterns I and II countries. REFERENCES I. Piot P. Plummer FA.
Netherlands. Norway. Poland, Portugal. Ro~a~ia. Spain. Sweden. Switzerland'. United Kingdoill. USSR, Yugoslavia. ,! ,i ... Au . tria Belgium Denmark France Germany. F R. ,(, Children under 1) year . IV: Intn\vcI10U\ drug u . er; Tr ... ,ion recipient: Het: Heterosexual contact: Oth: Other: Unk: linknown. ' on AIDS. '-' In Europe HIV infection in this population still seems to be very uncommon. Variable HIV seroprevalence rates have been found in North America, with none of 535 Nevada prostitutes having antibodies, but up to 30% of 27 non-intravenous-drug-abusing prostitutes in south Florida being infected.
The calculations assume an incubation period of 8 years, with (I) infectivity constant for the duration of the incubation period, (2) infectivity split equally between the beginning and end of the incubation period and (3) infectivity split unequally between the beginning and end of the incubation period, the later period having a higher infectivity than the early period. See Blyth and Anderson'" for details. transmission characteristics of HIV. '''' Longitudinal sampling of semen and cervical secretions for virus would be a better indication of infectivity.