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Bimbingan BIHA
Bimbingan BIHA
A
Name : IGAALS’s baby
Gender : M
DOB : 2nd May 2018
TOB : 14.42
Address : Thamrin street, Denpasar
Room : Perinatology Room
He was born to 27 years-old G1 by cesarean delivery, mature
gestation (38 weeks 4 days), immunocompremised, single
viable intrauterine fetus, labor stage I (active phase). Patient’s
mother has been diagnosed with immunocompremised at 25
weeks gestation, and has been taking ARV for 3 months. The
mother has no other health problems.
He was born cry spontaneously and had good mucle tone, but
the amniotic fluid was green. Defecate (+), urination (+)
APGAR score : 7-8-9
BW / BL : 2700 grams / 49 cm
TC / HC : 35 cm / 32 cm
HR : 140 x / minute
RR : 40 x / minute
Tax : 360C
SpO2 : 96%
Head : normochepali, within normal limit
Eyes : an -/-, ict -/-, pupils equal 2mm, round, reactive to
light +/+
Nose : nasal flaring –, cyanosis -
Oral : no palate abnormality
Chest : symmetrical, retraction –
Cor : s1s2 normal, regular, murmur –
Po : bves +/+, rhonki -/- , wheezing -/-
Maternal ARV
Maternal ARV + Baby ARV
SC Formula feeding
PRINCIPLE :
IMMEDIATELY DO A HIV ANTIBODY TEST
ON MOTHER OR CHILD AS SOON AS
POSSIBLE AFTER BIRTH, IF MOTHER’S HIV
STATUS IS UNKNOWN
+ -
PMTCT
The provision of nutrition depend on mother’s will
AFASS :
◦ Acceptable
◦ Feasible
◦ Affordable
◦ Sustainable
◦ Safe
Things that need to be considered:
◦ Nutrition management
◦ Prophylaxis ARV
◦ Prophylaxis opportunistic infections
◦ Immunization
◦ Monitoring growth and development
◦ Child’s hiv status
Given immediately when exposure is known
- : BCG can
given
Based on laboratories and presumtif
“SMS” :
◦ SYNDROME Risk Factor & WHO clinical syndrome
◦ MICROBIOLOGY Virology test
Viral cultur
Spesific antigen PCR DNA, PCR RNA, Antigen p24
◦ SEROLOGY Antibody test
VIROLOGY age < 18 month
14th -21st day
4th – 6 th week
4th – 6th month
therapy
Klinis Stadium klinis WHO
asimtomatik 1
mild 2
moderate 3
severe 4