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ResearchArticleSummary
BiologyLab1615,Tuesdays10A.M.

ImpactofMaternalHumanImmunodeficiencyVirusInfectiononBirthOutcomesand
InfantSurvivalinRuralMozambique

Introduction:
Africaisawidelyknowncontinentforobtainingthefirsttracesofhumanexistence,
exoticvacationspots,andfataldiseases.SubSaharanAfrica,aregionthatsgeographically
positionedsouthoftheSaharaDesert,ishometomorethanoftheworlds33.2millionpeople
thathavecontractedhumanimmunodeficiencyvirus,alsoknownasHIV.Furtherspeaking,
approximately80%ofthoseinfectedcomefromparturientwomen.
HIVissimilartoothervirusesthatcauseinfluenzaorthecommoncold.However,it
differsinanegativewaysuchthatthehumanimmunesystemhasnowayofdisposingthe
maliciouscontagion.TheroleofHIVistoattackthebodysTcells,whichhavetheprimary
responsibilityoffightingoffinfectionsordiseases.Onceenoughcellshavebeendestroyedby
thevirus,theinfectioncouldleadtoAIDS,thefinalstageoftheHIV,wheremostpeopledie.
TheresearchtookplaceinsouthernMozambique,andthebasiswastostudyandanalyze
theimpactoftheHIVvirusonapregnantwomanandtheoutcomeofherbaby,andwhether
singledoseintrapartumandneonatalnevirapine(sdNVP)couldpreventmothertochildtransfer
ofthevirus.


MaterialsandMethods:
Womenwhoparticipatedinthestudyresearchreceivedalonglastinginsecticidetreated
netthatcoveredtheirbed.Aftergivingawrittenconsent,thebloodsampleswerethencollected
fromthetestsubjectsinordertoassessanemiaandsyphilisscreening.Theviralstatusofthe
HIVinthemotherweredeterminedandrecordedatthetimeofhervoluntarycontribution.
Motherswithuncertainresultswereasktoreturnwithinamonthtoretest.
Duringlabor,arterialblood,theumbilicalcord,andplacentabloodwereaccumulated.
Thebloodistakentocontinuetheanemiascreening,theumbilicalcordwasusedfor
hematologicandparasitologicalcalculations,andtheplacentabloodtrialwastakenformalaria
inspection.Afterbirth,themotherandchildisexaminedevery4to6weeksforanyblood,
parasite,orviralverifications.

ResultsandDiscussion:
Ofallthe870mothersthatagreedtoparticipateinHIVtesting,660wereHIVnegative
while207werepositive.Conclusively,womenwhowereinfectedwithHIVwerenotablyata
muchhigherrisktohaveanemiaduringdelivery,includingobtainingahigherproportionfora
positivesyphilistestresult,andalsoaprominentcurrencyofmalnutrition.
Offspringsborntowomenwhowereinfectedweighedanaverageof3,000grams
comparedtothosewhowereHIVfreehavingoffspringsthatwerecommonlybornweighingat
3,040grams.Infantsborntoinfectedmotherswereata1.5foldhigherpervasivenessofanemia

at1monthofage.Nocorrelationwasfoundbetweenbothtypesofoffspringandmalariasince
themalariafoundatonemonthofagewassimilarinbothgroups.Asafollowuptomalaria,
therewasalsonocorrelationtobefoundwithearlyandlateneonataldeath,eventhoughthe
overallinfantmortalityratewasfoundhigherinoffspringswhowereborntoHIVpositive
women.
ThisresearchstudyevaluatedtheconsequencesofmaternalHIVinfectionsonthebirth
ofinfantsinsouthernMozambique.OtherthanHIVpositivemothersattainingahigherriskof
anemiaduringlabor,therewerenosignificantdifferencesinthepregnancyoutcomessuchas
birthrates,abortions,pretermdelivery,andstillbirth.Theresultshadthesignificantmeaningsof
whethertheparentwascontractedwiththehumanimmunodeficiencyvirusornot,reflectedupon
theirchildsconditionrightafterbirthandtheirlifespan.ChildrenwhoinheritedHIVweremore
likelytopassawayduringthefirstmonthoflife,andhavelessthan200cells/microliterworthof
Tcells.Duetothefactthatthedatareceivedfromthetrialswerecloselysimilartothetestsdone
inthepast,morestatisticsshouldbecollectedinordertoimprovetheresearch.

Bibliography:
https://www.aids.gov/hivaidsbasics/hivaids101/whatishivaids/
https://jennastephens.files.wordpress.com/2010/11/scientificarticlefinaldraft1.pdf
http://www.ajtmh.org
http://www.healthline.com/health/hivaids

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