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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update

Health Tips: Cesarean Delivery Best for HIV+ Women


United Press International (08/02/99)

The American College of Obstetricians and Gynecologists (ACOG) has issued a recommendation that pregnant HIV-positive women consider having a cesarean delivery two weeks before the anticipated birth date of their child. Studies suggest that women who have a cesarean delivery two weeks before their child's anticipated birth date, combined with AZT treatment, have only a 2 percent chance of infecting their newborn with HIV. HIV-infected women who deliver vaginally with AZT have a 5 percent to 8 percent chance of transmitting HIV to their newborn, and that risk increases to 25 percent for those women who do not use AZT. ACOG's Dr. Michael Greene also said that HIV-infected women treated with combination antiretroviral therapy may have such low levels of HIV in their systems that cesarean delivery may offer no added protective benefit; however, all the factors involved must be considered and explained to HIV-infected pregnant women.


Copyright © 1999 -CDC Prevention News Update, Publisher. All rights reserved to Information, Inc., Bethesda, MD. The CDC National Center for HIV, STD and TB Prevention provides the following information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases and tuberculosis does not constitute CDC endorsement. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, press releases and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted below for full texts of the articles.

Information in this article was accurate in August 2, 1999. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.