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Perinatal mortality Health Feed

Identification and Management of Perinatal HIV Treatment

Dr. Ajay Kumar Pujala 91% (142 ratings)
FHM Fellowship In HIV Medicine, MD, MBBS
HIV Specialist, Hyderabad
Identification and Management of Perinatal HIV Treatment

HIV testing in pregnancy should be done early so as standard care can be taken for the pregnant women. The HIV testing must be repeated in the third trimester, usually before 36 weeks of gestation. This should be done in women with HIV seronegative and also in pregnant women who are at a high risk of developing HIV infection.

Expedited HIV tests should be performed at the time of delivery and labor and this is a must in women who have not been documented for HIV. The results of the test should be available within an hour of the test and the testing should be available 24 hours. In case the results are positive then, infant postnatal antiretroviral and intrapartum drug prophylaxis should be started immediately.

Women who have not been able to get tested for HIV at the time of labor and delivery are suggested expedited screening for HIV. Their screening can be done immediately postpartum or their babies should undergo screening. In case the infant and mother, both are positive, then infant antiretroviral drug prophylaxis should be started immediately. These mothers should avoid breastfeeding their babies, until the supplemental HIV tests are negative. In infants with positive HIV, prophylaxis should be discontinued and antiretroviral drug therapy should be started.

In case of acute HIV infection during pregnancy, that is in the intrapartum period, or during breastfeeding, initial testing can be performed with an antigen/antibody combination immunoassay. If the supplemental test is negative, then an additional test which is the virologic test (DNA, RNA) are necessary for the diagnosis of the HIV infection. If the mother is HIV positive, then this information must be documented in the infant's medical record and also communicated to the infant's care provider.

The knowledge of an antenatal maternal HIV infection allows the:

  1. Women with HIV infection to get the correct antiretroviral therapy along with prophylaxis for the infections, which might occur due to the immunocompromised state of the body. This also prevents and decreases the risk of transmission to their partners.
  2. When there is provision for antiretroviral therapy for the mother during pregnancy and labor along with antiretroviral drug prophylaxis for the baby there is less risk of perinatal transmission of the HIV.
  3. The HIV-infected women should be counseled for a cesarean delivery. The option of an elective cesarean reduces the perinatal transmission of the HIV.
  4. The HIV women should be counseled about the risk of breastfeeding. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
6277 people found this helpful

Maternal HIV Testing And Identification Of Perinatal HIV Exposure!

Dr. George Oommen 87% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, DIM - L.P.S Institute of Cardiology
HIV Specialist, Mumbai
Maternal HIV Testing And Identification Of Perinatal HIV Exposure!


HIV testing in pregnancy should be done early so as standard care can be taken for the pregnant women.This HIV testing must be repeated in the third trimester, usually before 36 weeks of gestation. This should be done in women with HIV-seronegative and also in pregnant women who are at a high risk of developing HIV infection.

Expedited HIV tests should be performed at the time of delivery and labor and this is a must in women who have not been documented for HIV. The results of the test should be available in one hour of the test and the testing should be available 24 hours. In case the results are positive then, infant postnatal antiretroviral and intrapartum drug prophylaxis should be started immediately.

Women who have not been able to be tested for HIV at the time of labor and delivery are suggested expedited screening for HIV. Their screening can be done immediately postpartum or their babies should undergo screening. In case the infant and mother, both are positive, then infant antiretroviral drug prophylaxis should be started immediately. These mothers should avoid breastfeeding their babies, until the supplemental HIV tests are negative. In infants with positive HIV, prophylaxis should be discontinued and antiretroviral drug therapy should be started.

In case of acute HIV infection during pregnancy, that is in the intrapartum period, or during breast feeding, initial testing can be performed with an antigen/antibody combination immunoassay. If the supplemental test is negative, then an additional test which is the virologic test (DNA, RNA) are necessary for the diagnosis of the HIV infection.
If the mother is HIV positive then this information must be documented in the infant's medical record and also communicated to the infants care provider.

The knowledge of an antenatal maternal HIV infection allows the:

  1. Women with HIV infection to get the correct antiretroviral therapy along with prophylaxis for the infections which might occur due to the immunocompromised state of the body. This also prevents and decreases the risk of transmission to their partners.
  2. When there is provision for antiretroviral therapy for the mother during pregnancy and labor along with antiretroviral drug prophylaxis for the baby there is less risk of perinatal transmission of the HIV.
  3. The HIV infected women should be counseled for a cesarean delivery. The option of an elective cesarean reduces the perinatal transmission of the HIV.
  4. The HIV women should be counseled about the risk of breastfeeding

I have problems of semen count & also mortality so what should I have to do? which food I have to take?

Dr. Aanand J 94% (23679 ratings)
Advanced Aesthetics
Ayurveda, Gulbarga
I have problems of semen count & also mortality so what should I have to do? which food I have to take?
The hustle and bustle of modern day lifestyle can be severely harmful to the libido (urge for food for intercourse). Most folks return residence from a grilling day at perform as well tired to engage in intercourse. Even most youthful males are flagging. Nonetheless, healthcare professionals advise some testosterone and aphrodisiac meals that aid to increase sperm count and sexual overall performance for males. These libido increasing meals are too all-natural enhancement overall performance for equally individuals. Banana: this is one the testosterone foods that increase male libido and intercourse drive. It is advised that banana holds an enzyme which, when consumed, increase male sexual efficiency. Plantain: unripe plantain cooked or roasted has been established over the decades to induce, maintain and sustain erection. It too aids to make semen thick and boosts sperm quantity. Guava: when the leaves of guava plant is boiled or squeezed to extract the liquid subject material. This liquid subject material when consumed aids to increase male libido. Ginseng: it promotes spermatogenesis (boosts sperm count), stimulates sexual glands (equally male and female) and raises hormone creation, it boosts sexual functionality, increasing each frequency and good quality of male erection, and selling female genital organ excitation. Fresh new fish: this is one more all-natural libido increasing meals. It too assists to increase sexual potential. For medicenes consult privately,
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How to increase sperm count, if it's 5% mortality Only. Can any doctor help me with this problem.

Dr. K V Anand 95% (28940 ratings)
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
How to increase sperm count, if it's 5% mortality Only. Can any doctor help me with this problem.
Dear lybrate user. Sperm Count. 40 million to 300 million is the normal range for the number of sperm per milliliter. Counts below 10 million are considered poor; counts of 20 million or more may be fine if motility and morphology are normal. 1. Avoid overheating your testicles. There's a reason our testicles rest outside our bodies: they need to stay a bit cooler than the rest of our internal organs. When testicles get too warm, they aren't able to produce as much sperm.[1] There are a number of ways to make sure your testicles don't get overheated: Don't wear tight pants and jeans. Wear loose, cotton boxer shorts instead of briefs. Sleep without underwear so that your testicles stay cooler. Avoid hot baths and saunas. 2. Wear a jockstrap when you play sports. It goes without saying, because most men know this from experience, but a blow to the balls will hurt you and kill your sperm. 3. Massage your body with herbal oils. This, along with regular exercise, improves overall blood flow and circulation. Increased circulation means healthier sperm. 4. Reduce stress levels. Stress can decrease your sexual function, leading to reduced sperm production.[2] If you work 12 plus hour days and never give yourself a chance to rest, your count might be down as a result. Try practicing relaxation techniques throughout the day to keep yourself feeling calm. Keep your mind and body healthy by regularly practicing yoga and meditation, or take up running or swimming. Stress hormones block Leydig cells, which are tasked with regulating testosterone production. When your body experiences too much stress, it can actually stop producing sperm altogether. Make sure you're getting enough sleep every night. Exhaustion can also lead to increased stress and cause decreased sperm production. 5. Stop smoking. Smoking cigarettes causes sperm counts to be lower, makes them move more slowly, and causes the sperm themselves to be misshapen. 6. Drink alcohol moderately. Alcohol affects your liver function, which, in turn, causes a dramatic spike in estrogen levels. 7. Ejaculate less frequently. Frequent ejaculations can lower sperm count. Your body produces millions of sperm each day, but if you already have low sperm count, consider storing them up longer between ejaculations. If you have sex or masturbate daily, cut down on the frequency for increased sperm production. 8. Be careful around toxins. Exposure to chemicals can affect the size, movement and count of your sperm. It's more and more difficult to avoid exposure to toxins, but it's absolutely necessary for your overall health and the health of your sperm. Do the following to decrease your exposure: If you work around chemicals all day long, protect your skin with long sleeves and gloves, and make sure you wear a mask and goggles to protect your face. Use natural cleaning supplies instead of cleaning with chemicals. Don't use pesticides or herbicides in your house or yard. 9. Be wary of medications. Certain medications can lead to decreased sperm count and even permanent infertility. If sperm production is a big concern for you, make sure you ask your doctor whether any medication prescribed might affect your sperm count. Look at the labels on over-the-counter medicines, too. 10. Involve in physical exercises. 11. Flax seeds increase testosterone in a man's body. They also contain essential fatty acids that are necessary for maintaining libido. Flax seeds help in the proper release of all sex hormones, facilitating sexual desire. Taking one tablespoon of flax seed every day will ensure your sexual health. Take care.
1 person found this helpful
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Nipah - A Virus With No Vaccine & 75% Mortality Rate!

Dr. Garima Sharma 92% (458 ratings)
MBBS
General Physician, Fatehabad
Nipah - A Virus With No Vaccine & 75% Mortality Rate!

The Nipah virus may be little known, but scores extremely high when it comes to risk. The virus was first reported in Malaysia in 1998 and is no stranger to India. Indeed, it has struck India and Bangladesh multiple times since, leaving behind a toll count of nearly 280 infections and 211 deaths. And now, it’s back!

Nipah virus has already claimed over 9 lives in Kerala in past one month. Three people have tested positive for the virus over the past two weeks. And over 25 victims carrying its symptoms have been hospitalized.

Here’s what you should know about the Nipah menace.

  • Indications of a possible infection are fever and respiratory trouble and confusion. Flu-like symptoms have also been witnessed in some cases. The severity is too high and can progress to a state of coma.
  • Incidentally, this is a virus that can re-activate itself inside the patient’s body months or even years after the first strike. In such cases, the host can develop lasting health conditions such as stubborn convulsions and personality changes.
  • The way to stay out of harm’s way is to avoid exposure to infected animals, such as pigs and bats, and not consuming raw date palm sap.
  • Transmission of the virus to humans takes place via direct contact with infected bats, infected pigs, from other NiV infected people and by consuming food which is either infected or has come in contact with animals which are infected.

Symptoms of Nipah Virus:

The incubation period for the symptoms to develop for this virus is from 5 to 14 days and once the diagnosis is done the treatment must be given immediately. The Nipah virus can lead to the following in patients
Severe Lung condition
Asymptomatic infection
Inflammation of brain tissues

Preventive measures:

  • Stay away from people who are already infected with Nipah virus or NiV
  • In case, you have to touch the person then make sure you wash your hands from time to time.
  • Utensils, clothes or any other items used by the person infected with the virus should be kept separately.
  • If you are transporting the body of a person who has died of this virus, then make sure to cover your face, especially the nose.

Treatment for Nipah Virus:

No vaccination or medicine is available for treating people or animals with Nipah virus. The only treatment available is intensive supportive care. So visit a hospital as soon as you see the symptoms.

Not surprisingly, the Nipah virus ranks in the list of Top 10 priority diseases that the World Health Organization (WHO) has earmarked as possible candidates for the next major outbreak. Though treatment is currently limited care, efforts are on by the government and the medical community to develop preventive measures to combat the spread of the Nipah virus.
 

4893 people found this helpful

Before 2 months my sperm count was 3 million and active mortality was 80. Now yesterday I did again semen analysis test. And find sperm count 7.5million and active mortality nill sluggish mortality 5% please help me, and now I'm in deep shock. Cout it be increased the mortality, by education. Or if the reaming sluggish mortality further decreased to 0. Is that azoospermia.

Dr. Rushali Angchekar 95% (63870 ratings)
BHMS
Homeopath, Sindhudurg
Before 2 months my sperm count was 3 million and active mortality was 80. Now yesterday I did again semen analysis te...
Hello. Do not worry. It's not azoospermia. Azoospermia is called when there is no sperm in semen.   by maintaining good habits and taking homeopathy treatment, normalcy can be resumed at the earliest without any complications. you can consult me online for treatment and guidance.
1 person found this helpful
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A 10 year old child is diagnosed with global developmental delay static encephalopathy perinatal hypoxic insult sequelae child did not cry on birth.

Dr. Jatin Soni 94% (40612 ratings)
MBBS
General Physician, Mumbai
Apart from taking symptomatic treatment make sure to give him tablet folvite 5mg once a day lifetime
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I am 37 years old I am going married this month. I want increase my sperm count and mortality in sperm. Please advise me.

BHMS
Homeopath, Kolkata
I am 37 years old I am going married this month. I want increase my sperm count and mortality in sperm. Please advise...
Use natural aphrodisiacs which can improve your libido and prevent premature ejaculation. This would include carrots, fennel seeds, celery, bananas, garlic, onion, ginger, shellfish, lettuce etc. - including these foods in your daily diet will ensure that you remain free from sexual problems, including premature ejaculation.
12 people found this helpful

Hi I am diabetic can I take walnuts, I came to know that it improves sperms mortality & strength. Its true or not.

Dr. Suzi Jacklin 92% (288 ratings)
MBBS, CCEBDM
Diabetologist, Bangalore
Hi  I am diabetic can I take walnuts, I came to know that it improves sperms mortality & strength. Its true or not.
Hi Walnuts are rich in antioxidants, vitamin E, omega 3 fatty acids. It is beneficial for improving the sperm quality, also reduces cholesterol and helps in weight loss thereby protecting the heart, You can have 2-3 a day.
1 person found this helpful
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Relation Between Central Obesity and Cardiovascular Mortality in People of Normal Weight

Dr. Karan Thakkar 88% (144 ratings)
MD - Pharmacology, ECFMG certified , MBBS
General Physician, Navi Mumbai
Relation Between Central Obesity and Cardiovascular Mortality in People of Normal Weight
Researchers have found that central obesity is a risk factor for mortality even among individuals with normal body mass index. The results also suggest that waist to hip ratio might be a better marker than bmi for mortality risk. As noted by the authors, bmi is a measure of both lean and fat mass, whereas whr is associated with visceral fat accumulation, which has a stronger association with adverse metabolic profile than does bmi alone.
54 people found this helpful
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