%0 Journal Article
%T Manejo integral de la gestante con Virus de la Inmunodeficiencia Humana Integral management of HIV-infected-pregnant females
%A Camilo Rada-Ortega
%A Jorge Mario G車mez-Jim谷nez
%J Revista Colombiana de Obstetricia y Ginecolog赤a
%D 2010
%I Federaci車n Colombiana de Asociaciones de Obstetricia y Ginecolog赤a
%X Objetivo: revisar los aspectos m芍s relevantes del manejo de la gestante con virus de inmunodeficiencia humana (VIH) antes, durante y despu谷s del parto. Tambi谷n se incluyen las medidas b芍sicas de cuidado al reci谷n nacido. Metodolog赤a: se realiz車 una revisi車n de las publicaciones en MEDLInE entre enero de 2000 y junio de 2009 sobre el tema. Asimismo, se abordaron las gu赤as de manejo del Ministerio de Protecci車n Social de Colombia y las pertenecientes a los Centros para el Control de Enfermedades de los EE.UU. de Am谷rica. Resultados: la oportuna prescripci車n de la terapia antirretroviral de alta efectividad durante el control prenatal, la utilizaci車n de profilaxis antirretroviral anteparto, la realizaci車n de ces芍rea anteparto, evitar la lactancia materna y la profilaxis neonatal son las medidas que evitar芍n casi al 100% la transmisi車n madre-hijo del VIH. Conclusi車n: el manejo actualmente recomendado permite la prevenci車n de la transmisi車n madre-hijo del VIH en la mayor赤a de los casos. Objective: reviewing the most relevant aspects involved in managing pregnant females affected by human immunodeficiency virus (HIV) before, during and after giving birth. Basic measures in caring for the newborn are also included. Methodology: MEDLInE publications on the topic published from January 2000 to June 2009 were reviewed. Colombian Ministry of Social Protection guidelines were also reviewed as well as those from the US Centers for Disease Control and Prevention (CDC). Results: the opportune prescription of highly effective antiretroviral therapy during prenatal control, using pre-delivery antiretroviral prophylaxis, performing caesarean section, avoiding maternal breastfeeding and neonatal prophylaxis were found to be the measures which would lead to almost 100% mother-child HIV transmission being avoided. Conclusion: current management recommendations would lead to preventing mother-child HIV transmission in most cases.
%K VIH
%K embarazo
%K neonato
%K lactancia
%K anticoncepci車n
%K HIV
%K pregnancy
%K newborn
%K breastfeeding
%K contraception
%U http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74342010000300008