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Variable uptake of recommended interventions to reduce mother-to-child transmission of HIV in Australia, 1982–2005

Marisa T Gilles, Martyn A French and Jan E Dickinson
Med J Aust 2009; 190 (4): 220-221.

To the Editor: We read with interest Giles and colleagues’ recent article, which examined the adoption of strategies to reduce perinatal transmission of HIV infection in Australia.1 They found that uptake of strategies to reduce perinatal HIV transmission had increased, with widespread use of antiretroviral therapy (ART) and breastfeeding avoidance. The authors also noted that caesarean birth was a strategy less commonly utilised by women with HIV infection. They made particular comment about the caesarean delivery rate for women known to have HIV infection in Western Australia. It was disappointing that the authors did not refer to our recent publication describing the low rate of perinatal HIV transmission in WA using an individualised delivery modality policy.2

  • Marisa T Gilles1,2
  • Martyn A French3
  • Jan E Dickinson3

  • 1 Mid West Population Health Unit, Western Australian Department of Health, Geraldton, WA.
  • 2 School of Pathology and Laboratory Medicine, University of Western Australia, Perth, WA.
  • 3 School of Women’s and Infants’ Health, University of Western Australia, Perth, WA.

Correspondence: Jan.Dickinson@uwa.edu.au

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