Lyons F, Butler K, Coulter Smith S, Mulcahy F
Dept of Genitourinary Medicine and Infectious Diseases, St James Hospital, Dublin.
Ir Med J. 2006 May;99(5):152-4.
Management of HIV-1 in pregnancy has reduced the mother-to-child-transmission (MTCT) rate from 25-30% to <2% in the developed world, including Ireland. In Ireland most HIV positive pregnant women are diagnosed through antenatal screening many of whom arrive here late in pregnancy. Geographic dispersal and subsequent involvement of obstetric units throughout the country has resulted in a need for clear, accessible management guidelines. The Irish Infection Society first published guidelines for the management of HIV-1 in pregnancy in 2001 (1). The updated guidelines became operational in January 2002 with some amendments in March 2003 and July 2004. These guidelines offer a broad management outline for HIV positive pregnant women. Ultimately, each woman is assessed individually by a multidisciplinary team and a careful plan is determined.
在包括爱尔兰在内的发达国家，孕期对HIV-1的管理已将母婴传播（MTCT）率从25%-30%降至<2%。在爱尔兰，大多数HIV阳性孕妇是通过产前筛查确诊的，其中许多人在孕期晚期才来就诊。由于地理分布以及随后全国各产科单位的参与，因此需要清晰、易懂的管理指南。爱尔兰感染协会于2001年首次发布了孕期HIV-1管理指南（1）。更新后的指南于2002年1月开始实施，2003年3月和2004年7月进行了一些修订。这些指南为HIV阳性孕妇提供了广泛的管理概述。最终，由多学科团队对每位女性进行单独评估，并制定详细的计划。
