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Successful prevention of vertical HIV transmission hinges on the mother receiving antiretroviral therapy (ART). In this study, which was previously reported at the 15th Retrovirus Conference (AIDS Clin Care Mar 10 2008), researchers described the experience of more than 5000 women who received antiretrovirals during pregnancy between 2000 and 2006 in the U.K. and Ireland.
The overall rate of vertical transmission was 1.2% (61 of 5151). Rates were even lower in certain circumstances: 0.7% (17 of 2286) with combination ART and planned cesarean delivery, 0.7% (4 of 559) with combination ART and planned vaginal delivery, and 0% (0 of 464) with AZT monotherapy and planned cesarean delivery. Only three transmissions occurred (0.1%) among the 2117 …