AIDS and Obstetrics and Gynaecology

Section I — Epidemiology and Virology.- Virology.- The global patterns and prevalence of HIV infection in women.- Prediction of trends in AIDS incidence.- Discussion.- Heterosexual transmission of HIV.- Effects of human seminal plasma on the lymphocyte response to viral infection.- Discussion.- Section II — Natural History.- The impact of pregnancy on HIV-related disease.- Infants born to mothers seropositive for HIV: results from the ongoing European Collaborative Study.- Paediatric AIDS in Uganda from materno-fetal infection.- Discussion.- HIV-1 infection in infants: practical laboratory diagnosis.- Subsequent care of infants of HIV positive mothers.- Discussion.- Section III — Obstetric Management Problems.- Methods and reliability of antenatal diagnosis (including the effect of passive immunisation).- Antenatal HIV screening—ethical considerations.- Discussion.- Counselling the HIV positive pregnant woman.- Termination of pregnancy.- Discussion.- Consumers’ concerns about AIDS.- Section IV — Obstetric Care.- Changes in routine antenatal and postnatal inpatient practice.- Safety of invasive procedures in diagnostic antenatal and intrapartum care.- Special precautions in delivery suites and operating theatres for normal labour and delivery and operative delivery including episiotomy.- Discussion.- Maternal resuscitation, haemorrhage and shock—the obstetrician’s viewpoint.- Maternal resuscitation, haemorrhage and shock—the anaesthetist’s viewpoint.- Discussion.- Section V — HIV and Health Care Workers.- Risk of transmission to other patients and staff.- HIV-infected health care workers.- Discussion.- Human immunodeficiency virus and blood transfusion.- Discussion.- Section VI — Neonatal Problems.- AIDS and neonatal resuscitation.- Care of thenormal newborn of the HIV positive mother.- Discussion.- Implications of human immunodeficiency virus infection for neonatal intensive care.- Discussion.- AIDS and human milk banking.- Breastfeeding and human milk banks—a midwife’s viewpoint.- Discussion.- Section VII — Gynaecology and Handling of Specimens.- Gynaecological surgery.- AIDS and barriers.- Infertility and AIDS.- Discussion.- Counselling on safer sex.- Preconceptional counselling.- Discussion.- Conclusions.