ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
Prevention of Mother-To-Child Transmission of HIV in Australia: An Analysis of 30 Years of National Surveillance Data
Start treatment if not already on it.
Normal delivery if VL < 50, planned cesarean section for VL 50-399, add iv ZDU if VL > 400
714 infants born to 527.
No breast feeding.
Mean gestation was 38 weeks, mean maternal age at delivery was 30 years.
87% reported heterosexual exposure as the mode of transmission.
32% of infants were HIV infected after birth at the beginning of the time period studied, reducing down to 1.5% currently.
Maternal HIV diagnosis was made before parturition in 49% at the beginning of the period studied, compared with 98% currently.
In the last 10 years, there have been 11 cases of maternal transmission.
These were primarily cases where the maternal diagnosis was not known, or there were tolerability issues with maternal ARVs.
We have seen a substantial increase in numbers of children born to HIV positive mothers over the last 30 years.