Examination of Strategies to Promote Normal Birth among HIV Infected Women

Abstract

In this paper we will be looking towards promoting the mode of vaginal delivery in the “human immunodeficiency virus” patients that are capable of transmitting the viral infection towards the infants. And the ways that this can be avoided through certain safety measures.

Introduction

Human immunodeficiency virus (HIV) is capable of being transferred from a mother towards an infant while the postpartum, intrapartum or antepartum period. Obstetrical, virologic, immunologic and different maternal aspects are able to persuade this transmission, but it is very difficult to asses it relative contribution. A number of researches have been focusing on the measure for immunologic response, maternal immunocompetence towards the viral phenotype, viral load and virus. Growing evidences indicate that the considerable population of infants adopt most of the infections near or at delivery (J. Antimicrob, Chemotherapy, 2000, pg n.d). But mainly it has been observed that the mother to infant transfer of “human immunodeficiency virus” took place during the intrapartum period. Potential mechanism involves infections after the break of membranes, blood through the “maternal genital tract” or straight connection of the fetus within contaminated secretion, transfusion of the mother's blood towards fetus through labor contractions. Consequently, performing a caesarean section prior to the onset labor including the breakage of membranes might reduce the danger of perpendicular transmission.

Early researches through continued European followed examinations recommended a connection between the vertical transmission of HIV and mode of delivery (Davies, 2006). Subsequently, the researches that utilized multivariate study discovered a lowered possibility of the transmission within the caesarean section. Because even the fact is observed that most of the midwives are not comfortable to deal with the mothers with “human immunodeficiency virus” vaginal delivery

Problem Statement

The problem that arises in this study is selecting the vaginal or normal mode of delivery and promoting it in the HIV mothers that could result in being safe for the mother and baby including the midwives that will not result in transmitting the “human immunodeficiency virus” infection or even lower the possibilities, since there are midwives that are not comfortable in dealing with patients with this and in different studies it has been observed that the caesarean sections are the safest form of delivery for the patients with “human immunodeficiency virus” but we want to create awareness within the public about it.

Thesis Statement

It has been observed that patients with “human immunodeficiency virus” are usually avoided from vaginal delivery since this disease is capable of transferring to the baby.

Purpose of the Study

The main purpose of the study in this research is to keep the new born infant safe from the mother's prior “human immunodeficiency virus” by choosing methods that will not be able to affect the infant or increase the chances of safety. Another purpose is also the concern of the midwives that they have while dealing with the patients who have “human immunodeficiency virus” since they are times when they are not comfortable in dealing with the ...