Research Paper

Impact of changed NACO Guidelines on HIV Vertical Transmission at Tertiary Referral Institute in Mumbai

Dr Reena Wani, Dr Pramila Yadav, Dr Yesha Sevalia, Dr Suyasha Thorat

  Abstract :

Objective : To assess the impact of changed guidelines of National AIDS Control Program on vertical transmission at our centre. Design: Retrospective analysis of outcomes of standard treatment as per revised national guidelinesSetting: H B T Medical College and Dr. R N. Cooper Hospital Mumbai.Methods: All antenatal (ANC) cases over 4 years (2015 to 2018), sero-positive women delivering at our institute, and newborns screened for HIV by DBS (dried blood spot) testing as per NACO Guidelines were reviewed.Results : Out of 18,342 ANC cases registered over 4 years, totally 16,664 were screened using opt-out policy (91%). Overall 25 cases (0.15%) were detected to be HIV positive, with a decreasing trend over the 4 years. However 0.6% (100) of antenatal women were seropositive as many (75) had been referred to us for delivery due to sero-positive status. Of the 75 livebirths, 65 (86.7%) neonates underwent DBS testing and all tested negative. In the last 4 years there has been ZERO positivity - 100% prevention of vertical transmission of HIV in those tracked.Conclusion: The rate of vertical transmission can be reduced to zero by antenatal screening, highly active anti retroviral therapy (ARV) during antenatal and intra-natal period and treating newborns with ARV as per revised NACO Guidelines.

  Keywords :

HIV   vertical transmission  


  Cite This Article:

IMPACT OF CHANGED NACO GUIDELINES ON HIV VERTICAL TRANSMISSION AT TERTIARY REFERRAL INSTITUTE IN MUMBAI, Dr Reena Wani, Dr Pramila Yadav, Dr Yesha Sevalia, Dr Suyasha Thorat, INTERNATIONAL JOURNAL OF ADVANCES IN GYNAECOLOGY : Volume-2 | Issue-4 | December-2018

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