Research shows that HIV-positive pregnant women at risk of transmitting the virus to her baby about 35 percent .
Penelitian membuktikan bahwa ibu hamil HIV positif berisiko menularkan virus kepada bayi yang dikandungnya sekitar 35 persen.
Research shows that HIV-positive pregnant women at risk of transmitting the virus to her baby about 35 percent . Risk
consists of 7 percent risk during pregnancy , at the time of bleeding
during childbirth ( vaginal ) 15 percent , and from 13 percent breast
milk . However , that risk can now be reduced to 1 percent .
According to Prof. Dr. Dr. Samsuridjal Djauzi of Special Study Group ( Pokdisus ) AIDS Faculty of Medicine, University of Indonesia, Jakarta Ciptomangunkusumo Hospital , the prevention of HIV transmission from pregnant mothers to babies can be done in three ways , namely pregnant women should be taking antiretroviral drugs ( ARVs ) , underwent deliveries by caesarean section , and artificial feeding .
"If those three things done , maybe the risk was 35 percent could stay only 1 percent. So it is almost certain the baby is not infected , " he said during a media seminar with the theme ' Prevention and Investigation of HIV cases should be encouraged ' on Saturday , ( 30 / 6/2012 ) yesterday in Jakarta .
Samsuridjal urge every woman planning a pregnancy to undergo screening tests for hepatitis B , HIV , and some other tests . Because of the earlier detected , the risk of HIV transmission to infants can be reduced seminimalkan possible .
He added that pregnant women taking ARVs in the long term the amount of virus in the body can be reduced as low as possible , so that the risk of transmission through birth and breast milk can be decreased sharply . That is why in African countries who use their ARVs have been going well , is not required surgery and could keep the baby fed exclusively .
" But from my experience during practice , most pregnant women come to the hospital already pregnant. Fact , no one came when a woman in labor so the opportunity to use ARVs be very short , " he said .
According Samsurdjal , if someone is using antiretroviral drugs regularly and well , then in the period of 6 months decreased the amount of HIV in the blood can not even be detected .
RSCM , said Samsuridjal , conducted annually help pregnant women 60-70 who are HIV positive . The result was very satisfactory . According to research in the Department of Pediatrics RSCM , only about four percent of infants of HIV-infected pregnant women who underwent preventive efforts .
According to Prof. Dr. Dr. Samsuridjal Djauzi of Special Study Group ( Pokdisus ) AIDS Faculty of Medicine, University of Indonesia, Jakarta Ciptomangunkusumo Hospital , the prevention of HIV transmission from pregnant mothers to babies can be done in three ways , namely pregnant women should be taking antiretroviral drugs ( ARVs ) , underwent deliveries by caesarean section , and artificial feeding .
"If those three things done , maybe the risk was 35 percent could stay only 1 percent. So it is almost certain the baby is not infected , " he said during a media seminar with the theme ' Prevention and Investigation of HIV cases should be encouraged ' on Saturday , ( 30 / 6/2012 ) yesterday in Jakarta .
Samsuridjal urge every woman planning a pregnancy to undergo screening tests for hepatitis B , HIV , and some other tests . Because of the earlier detected , the risk of HIV transmission to infants can be reduced seminimalkan possible .
He added that pregnant women taking ARVs in the long term the amount of virus in the body can be reduced as low as possible , so that the risk of transmission through birth and breast milk can be decreased sharply . That is why in African countries who use their ARVs have been going well , is not required surgery and could keep the baby fed exclusively .
" But from my experience during practice , most pregnant women come to the hospital already pregnant. Fact , no one came when a woman in labor so the opportunity to use ARVs be very short , " he said .
According Samsurdjal , if someone is using antiretroviral drugs regularly and well , then in the period of 6 months decreased the amount of HIV in the blood can not even be detected .
RSCM , said Samsuridjal , conducted annually help pregnant women 60-70 who are HIV positive . The result was very satisfactory . According to research in the Department of Pediatrics RSCM , only about four percent of infants of HIV-infected pregnant women who underwent preventive efforts .
Penelitian membuktikan bahwa ibu hamil HIV positif berisiko menularkan virus kepada bayi yang dikandungnya sekitar 35 persen. Risiko tersebut terdiri dari risiko selama kehamilan 7 persen, pada waktu pendarahan saat persalinan (per vaginam) 15 persen, serta dari air susu ibu 13 persen. Akan tetapi, risiko itu kini bisa dapat ditekan hingga 1 persen.
Menurut Prof DR dr Samsuridjal Djauzi dari Kelompok Studi Khusus (Pokdisus) AIDS Fakultas Kedokteran Universitas Indonesia-Rumah Sakit CiptoMangunkusumo Jakarta, pencegahan penularan HIV dari ibu hamil ke bayi dapat dilakukan dengan tiga cara, yakni ibu hamil harus minum obat antiretroviral (ARV), menjalani proses persalinan melalui operasi caesar, dan pemberian susu buatan.
"Kalau ketiga hal itu dilakukan, mungkin risiko yang tadinya 35 persen bisa tinggal hanya 1 persen saja. Jadi hampir dipastikan bayi tidak tertular," katanya saat acara Seminar Media dengan tema 'Upaya Pencegahan dan Pemeriksaan Kasus HIV Perlu Digalakkan', Sabtu, (30/6/2012) kemarin di Jakarta.
Samsuridjal menganjurkan setiap wanita yang merencanakan kehamilan untuk menjalani pemeriksaan tes hepatitis B, HIV, dan beberapa tes lain. Karena semakin dini terdeteksi, risiko penularan virus HIV ke bayi dapat ditekan seminimalkan mungkin.
Ia menambahkan, ibu hamil yang minum ARV dalam jangka waktu lama jumlah virus dalam tubuhnya dapat ditekan serendah mungkin, sehingga risiko penularan melalui kelahiran dan air susu ibu dapat menurun tajam. Itulah sebabnya di negara-negara Afrika yang penggunaan ARV-nya telah berjalan baik, tidak diperlukan operasi dan bayi dapat tetap diberi susu eksklusif.
"Namun dari pengalaman selama saya berpraktik, kebanyakan ibu hamil datang ke rumah sakit sudah hamil besar. Bahkan, ada yang datang ketika mau melahirkan sehingga kesempatan untuk menggunakan ARV menjadi amat pendek," katanya.
Menurut Samsurdjal, jika seseorang menggunakan obat ARV dengan teratur dan baik, maka dalam dalam kurun waktu 6 bulan jumlah HIV dalam darah menurun bahkan tidak dapat terdeteksi.
Di RSCM, kata Samsuridjal, setiap tahun dilakukan pertolongan 60-70 ibu hamil yang HIV positif. Hasilnya pun sangat memuaskan. Menurut penelitian di Departemen Ilmu Kesehatan Anak RSCM, hanya sekitar empat persen bayi yang terinfeksi HIV dari ibu hamil yang menjalani upaya pencegahan.
http://health.kompas.com/read/2012/07/01/1027565/3.Syarat.Mencegah.Penularan.HIV.ke.Bayi
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