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baby due and anemic
Jun 12, 2005

i am 37 weeks pregnant and want to know the tested and known treatments for babies just born from and hiv + mother is it standard to give azt drugs to a newborn ,or is the bactrum treatment just as effective????if the baby is negative why would they want to give him poison if he reads positive what are the most tested regimends ...how do i keep from being a statistic on someones paper pile???due to pregnancy i am also slightly anemic will this pass what can i do to change being anemic? i am taking combravir amd viracept and it is much better then the kaleetra was on me in case anyone needs to know that ...

Response from Dr. Frascino

Hello,

HIV antibodies (the body's immunologic response to HIV infection) are non-infectious protein particles that can pass from an HIV-positive mother through the placenta to her unborn baby. Therefore it can be difficult to determine if an infant born to an HIV+ mom is really HIV positive or not, using routine HIV antibody screening tests. Current recommendations are to treat both the mother and newborn infant with antiretroviral drugs. This has been definitively shown to help prevent the transmission of HIV infection to the newborn. Bactrim is an antibiotic and not helpful in preventing or treating HIV disease. Bactrim is helpful in the prevention and treatment of some opportunistic infections associated with AIDS, including PCP (Pneumocystis carinii pneumonia).

Regarding anemia in the setting of HIV disease, there are many potential causes, ranging from nutritional deficiencies to opportunistic infections to medication side effects. For instance, AZT, one of the components in your Combivir, is well known to be a potential cause of anemia. Pregnancy and a wide range of other conditions can also be associated with anemia. Treatment for anemia depends on the cause. For instance, iron or specific vitamin deficiencies are treated with supplements whereas AZT-induced anemia is treated by switching off that drug or using Procrit, a medication that increases the production of new red blood cells.

I realize this information can be confusing. I would suggest you discuss your concerns with your HIV specialist. He or she, in conjunction with your obstetrician, will evaluate your anemia problem and discuss, in more detail, treatment options for both you and your baby. Becoming informed and working closely with your doctors are the best ways to avoid becoming a statistic!

Good luck with the new arrival.

Dr. Bob


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