Your personalized academic paper writing service. Ultimate quality at an affordable price.

We write

  • essays, research papers
  • book and movie reports
  • theses, dissertations
  • exam preparations
  • Power Point presentations
  • annotated bibliographies
  • editing and proofreading of your texts
  • customized writing assistance of any kind

Service features

  • strictly following customer’s individual instructions
  • 300 words per page
  • Times New Roman font 12 pts, double-spaced
  • FREE abstract, outline, bibliography
  • plagiarism detection reports upon request
  • loyalty program

Our guarantee

  • plagiarism-free authentic papers
  • thorough research
  • completely confidential service
  • secure payments protected by PayPal
  • timely revisions until completely satisfied
  • meeting your deadlines
  • reliable 24/7 customer support
  • 100% money back guarantee

Customer center

  • Login to check order status, contact your personal writer directly, upload any additional documents for your order, download a complete order, request a revision, etc.

Example essay writing, topic: Prevention Of Hiv Transmittance To Babies - 1,140 words

The essay example you see on this page is a free essay, available to anyone. You are welcome to use this samle for your research! However, we strongly do not recommend using any direct quotes from this research paper for credit - you will most probably be caught for copying/pasting off the Internet.

It is very easy to trace where the essay has been taken from by a plagiarism detection program.

Order a custom essay from us if you want to be sure that your essay is 100% original and one of a kind.

Prevention of HIV Transmittance to Babies Last year, it was cause for celebration. The cause of celebration was for the results that several clinical trials of zidovudine cut the risk for mother to child transmission of human immune deficiency virus (HIV) by two thirds. Although, this year, it is the basis for new federal recommendations that all pregnant women should receive HIV testing and counseling. But, these findings have been cause of protests by several activist groups. Activists fear that conservative legislators and policy makers will use the clinical data to justify mandatory testing and treatment for pregnant women. During the latter part of February, the United States Public Health Services published guidelines for HIV pregnant women in the Federal Register.

Which coincidentally was published on the same day as the National Conference in Washington, DC for 'HIV infection in women: Setting a New Agenda.' The conference included activists, physicians and HIV positive women who used the meeting as a forum to voice their concerns about how best to balance women's own medical needs with those of their infants. Other concerns of activists that were voiced were that they don't want laws, policies or medical care imposed on women merely as 'vectors' who may transmit HIV to their infants. The new guidelines recommend that all pregnant women should receive HIV counseling and testing. These guidelines are aimed at helping pregnant women know their HIV status early so that medical care, including zidovudine (Retro vir, known as AZT, Burroughs Welcome Co. , Research Triangle Park, NC), can be made available. The new guidelines also reiterate previous federal health advisories that say counseling should precede HIV testing.

Physicians and other health professionals who counsel women should be well informed about the complex issues that face HIV infected pregnant women, according to the guidelines. This information should include about all of their reproductive options. Women should also be advised that in order to help reduce prenatal HIV transmissions HIV infected women in the United States should not breast feed their infants. The guidelines further states that all HIV testing should be voluntary for women and their infants. Also, all decisions about AZT use should be made by the HIV infected pregnant woman in a non coercive atmosphere and based on a balance of the benefits an potential risks of the regimen to herself and her child. The guidelines also state that women who are infected or refuse testing must not be denied medical care, reported to child protective agencies, or discriminated against in any way.

The center for Disease control and Prevention (CDC), Atlanta, GA. reports that as of December 31, 1994, there were 58, 448 women with AIDS in the United States. Nearly one fourth of the total were reported in 1994 alone. AIDS is now the fourth leading cause of death in US women ages 25 to 44 and in 15 major United States cities. In 1993, the CDC estimated that 7, 000 HIV infected women gave birth in this country, in other words, about one in every 625 women who gave birth that year was HIV positive.

The rate of mother to child transmission rate ranged from 15%to 30%, which is estimated that there were as many as 2, 000 HIV infected infants born in the United States in 1993. Much of the controversy centers on AIDS Clinical Trials Group (ACTG) protocol 076. In the 2 year study, 239 of the 477 HIV infected women enrolled received AZT during pregnancy and delivery. Their infants received the drug for six weeks. At 18 months, 8. 3% of the infants in the treatment group vs.

25. 5 % of the controls were infected. 'Evidence based on every analysis that has been done of the outcomes to date shows that this isa prevention breakthrough,' said Wanda Jones, D rPH, acting associate director ofCDC's office of Women's Health. Activists believe that the data is incomplete and should not be used as the basis for federal guidelines. They wanted to know the effects AZT might have on the estimated 75% of infants who are born to HIV positive mothers but don', and whether a pregnant woman who takes AZT early in the course of infection will still benefit from the drug later, when she is sicker. They also wanted to know what the long term effects may be if women take AZT during multiple pregnancies, and whether ACTG 076 showed a correlation between high maternal viral load and the likelihood of transmission.

A few small studies, including one from New York State Health Department, are beginning to point in that direction. Jones of the CDC conceded that the study leaves many question unanswered. However, it is the only one ever to have demonstrated any effective method of preventing maternal fetal HIV transmission. 'It would be irresponsible for us not to be out front on this,' she said.

James W. Curran, MD MPH, associate director for HIV/AIDS at the CDC added that, 'The reason we published these guidelines is that we believe they represent the very best in public health practice.' Besides their scientific concerns, activists also believe that the guidelines come at a politically tenuous time. Two years ago, before the ACTG 076 results were announced and before Congress took a conservative turn, New York lawmakers considered legislation to unbind mandatory testing of newborns so that seropositive infants could be identified. The law failed.

But now, since the clinical results have been widely publicized, a similar bill is pending in Congress. For example, in Illinois, lawmakers are considering a bill that would mandate HIV testing and counseling for all pregnant women. And in New York, they have proposed legislation would mandate testing of pregnant women without requiring counseling. Experts say that initiative like those in Illinois and New York are likely to crop up in more states. To counter pro-mandatory testing movements, activists have urged federal health officials to strengthen language in the guidelines before they are finalized so that the document won't be construed as supportive of mandatory testing. Mandatory testing has been controversial since the AIDS epidemic began.

Opponents contend that is violates civil rights, results in discrimination and may drive some people away from receiving the medical care they need. Therefore, without a stronger message in support of voluntary testing the guidelines maybe come a way to discriminate against pregnant women who are HIV positive. Bibliography Rogers, Martha, Simonds, R. J. ; March 15, 1996; Preventing Prenatal HIV Infection 'How Far Have We Come?' ; Journal of the American Medical Association Volume 19; Page 1514 Voelker, Rebecca; April 5, 1996; US Public Health Service Recommends Counseling and HIV Testing For All Pregnant Women; Journal of the American Medical Association; Volume 19; page 977 Wolfe, Maxine Ph. D.

; October 1, 1996; Mothers To Infant HIV Transmission 076 Update; Women Alive; page 6.

Following research papers might be related to your topic and facilitate your research.

  • Hiv Aids Women Infected Virus - 1,023 words
    HIV/AIDS is an epidemic that effects both men and women of all ages. It has an impact on many people's lives either by themselves being infected, knowing someone who is infected, or being a health care worker. HIV is a virus that attacks the body's immune system. It also effects the blood cells (lym...
  • Women And Aids Hiv Infected Infection - 3,067 words
    Understanding the Issues of Women and HIV/AIDS Rachel Selden, Colgate University, Hamilton NY 13346 ABSTRACT: Infection with the human immunodeficiency virus (HIV) had emerged as a major health problem for women in the United States. Family physicians can play an important role in the detection and ...
  • Women With Hiv And Their Burden Of Caring - 918 words
    Risks of perinatal transmission are increased if the mother has an advanced case of the HIV disease, large amounts of HIV in her blood stream, or few immune system cells, CD 4+ T cells, which are the main targets of HIV (10). Other factors that may increase the risk of transmission are maternal drug...

Still cannot find the paper you need? Order a custom research paper or essay tailored exactly to your instructions and demands -- original, written from scratch for you!

Free essay topics, how to write essay on Prevention Of Hiv Transmittance To Babies

Order a custom paper at an affordable price!

Sample essays produced by our company

Our prices per page

  • $15.85 - in 14 days
  • $16.95 - in 3 days
  • $22.95 - within 48 hours
  • $26.95 - within 24 hours
  • $29.95 - within 12 hours
  • $32.95 - within 6 hours
  • $39.95 - within 3 hours
  • Order now!