Women and HIV Sudha Salhan
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1Women and HIV
Women and HIV
Sudha Salhan Consultant and Head Department of Obstetrics and Gynaecology VM Medical College and Safdarjung Hospital New Delhi
A FOGSI Publication
2Women and HIV
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
Phones: 23272143, 23272703, 23282021, 23245672, 23245683
Fax: 011-23276490
e-mail: jpmedpub@del2.vsnl.net.in
Visit our website: http://www.jpbros.20m.com
Branches
Women and HIV
© 2003, Federation of Obstetric and Gynaecological Societies of India
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
This book has been published in good faith that the material provided by editor is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editor will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only.
First Edition : 2003
Publishing Director: RK Yadav
9788180610875
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd, A-14, Sector 60, Noida
5Preface
As HIV infection and AIDS is becoming more visible a need for a comprehensive book about the subject is being felt. This book is an attempt to fill that void. What is the load of infection in our population, how can the disease manifests, how to prevent and suppress it are some of the questions which come to our mind and which are answered in this book. The role of reproductive tract infection and sexually transmitted diseases in enhancing HIV infection is emphasized Counselling is required before testing and after disclosing the results to the patient. Even if the result is negative counseling regarding prevention of the infection is necessary. This vital topic is dealt with in detail.
The National AIDS Control Organization (NACO) has published guidelines for the diagnosis of AIDS in different circumstances. These, too, are highlighted.
The signs and symptoms of HIV/AIDS, including opportunistic infections and their treatment, are elaborated.
The only treatable entity, that is mother-to-child transmission, is discussed in detail. The circumstantial predisposition of adolescent girls should be understood. The prevention of infection in health workers and its immediate treatment, if accidental infection occurs, is of considerable importance to all of us. Therefore, chapters dealing exclusively with postexposure prophylaxis and biosafety measures are included.
Finally, a knowledge of the psychological effects of the disease is imperative in treating the patient in totality. Due importance has, therefore, been given to it.
To battle this epidemic obstetricians and gynaecologists, paediatrician, microbiologists, physicians, epidemiologists and psychiatrists must act in concert.
I am grateful to Mr. Brijesh Tripathi and my daughters for helping me with the manuscripts and the computer work. The publishers, Jaypee Brothers, have been very patient, throughout and thus I also thank them profusely.
Sudha Salhan
6Contributors