[HIV seropositivity and pregnancy. Apropos of 48 cases (how should they be managed at the present time?)]. / Séropositivité HIV et grossesse. A propos de 48 observations (quelle conduite à tenir pratique adopter aujourd'hui?)

We describe the gynaecological and obstetrical management of 48 HIV seropositive, pregnant women and review the literature. We did not find that pregnancy aggravated the development of the condition from the asymptomatic anti-HIV related complex (ARC) and AIDS. It seemed that fetal malformations, especially of the face, occurred most frequently in babies born to HIV seropositive mothers. Materno-fetal transmission of HIV was found in the uterus in 50% of our cases. In conclusion, we recommend safe contraception to prevent pregnancies in anti HIV seropositive women. If that fails, induced first trimester abortion is medically indicated and should be carried out if possible, as should strict medical control post-partum of both mother and child if the pregnancy is carried to term.

[Transmission of HIV (Human Immunodeficiency Virus) from mother to child. Apropos of 16 cases]. / Transmission du HIV (Human Immunodeficiency Virus) de la mère à l'enfant. A propos de 16 cas.

From a personal series of 16 cases, the authors report in this article the various arguments in favor of a vertical or neonatal transmission of HIV. The risk of contamination when the mother is sero-HIV positive seems to be 50 to 60 p. cent, for most teams.