Reducing the Odds: Preventing Perinatal Transmission of HIV in the United States - Hardcover

National Research Council; Board On Children, Youth, And Families; Institute Of Medicine; Committee On Perinatal Transmission Of HIV

Hardcover

ISBN 10: 0309062861 ISBN 13: 9780309062862

Publisher: National Academies Press, 1999

Synopsis

Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS.
Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January

Table of Contents

• Front Matter
• Executive Summary
• 1 Introduction
• 2 Public Health Screening Programs
• 3 Descriptive Epidemiology of the Perinatal Transmission of HIV
• 4 Natural History, Detection, and Treatment of HIV Infection in Pregnant Women and Newborns
• 5 Context of Services for Women and Children Affected by HIV/AIDS
• 6 Implementation and Impact of the Public Health Service Counseling and Testing Guidelines
• 7 Recommendations
• References
• Appendixes
• A Committee and Staff Biographies
• B Context of Services for Women and Children Affected by HIV/AIDS
• C Workshop I Summary
• D Workshop II Summary
• E New York/New Jersey Site Visit Summary
• F Alabama Site Visit Summary
• G South Texas Site Visit Summary
• H Florida Conference Summary
• I HIV Testing and Perinatal Transmission: Thoughts from an HIV-Positive Mother
• J Human Immunodeficiency Virus Antibody Testing Among Women 15-44: Results from the 1995 National Survey of Family Growth
• K Details of the Committee's Models and Assumptions
• L Passing the Test: New York's Newborn HIV Testing Policy, 1987-1997
• M Excerpts from the Ryan White CARE Act Amendments of 1996
• N 1995 U.S. Public Health Service Recommendations for Human Immunodeficiency Virus Counseling and Testing for Pregnant Women
• O Acronyms and Glossary
• Index

About this title

About the Author

Michael A. Stoto, Donna A. Almario, and Marie C. McCormick, Editors; Committee on Perinatal Transmission of HIV, Institute of Medicine, and Board on Children, Youth, and Families, National Research Council

Edition details

• Publisher: National Academies Press
• Publication date: 1999
• ISBN 10: 0309062861
• ISBN 13: 9780309062862
• Binding: Hardcover
• Language: English
• Edition number: 1
• Number of pages: 397
• Editor: McCormick Marie C., Almario Donna A., Stoto Michael A.