Document Detail


Obstetric and perinatal complications in HIV-infected women. Analysis of a cohort of 167 pregnancies between 1997 and 2003.
MedLine Citation:
PMID:  17486461     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The unquestionable benefit of antiretroviral therapy in reducing the rate of mother-to-child transmission can be lessened by potential maternal or neonatal toxicity. OBJECTIVE: To analyze obstetric and perinatal complications in a cohort of HIV-infected pregnant women and their relationship with maternal antiretroviral therapy. POPULATION: One hundred and sixty-seven HIV-infected pregnant women who delivered at Hospital Universitario La Paz, Madrid, Spain between January 1997 and December 2003. METHODS: Data on the clinical and epidemiological characteristics of HIV-infected patients, previous and current antiretroviral therapy, gestational diabetes mellitus, length of pregnancy, mode of delivery, and weight of the newborn were collected. Pregnancy outcomes were compared with those of all the pregnant women attended at our hospital. MAIN OUTCOME MEASURES: Gestational diabetes mellitus, premature delivery, and low birth weight. RESULTS: Gestational diabetes mellitus was diagnosed in 8.9% of patients. All the cases of gestational diabetes were in the combined antiretroviral therapy group, and the majority were receiving triple antiretroviral therapy with a protease inhibitor. The risk of developing this pathology was greater among women receiving antiretroviral therapy prior to pregnancy. The premature delivery rate was 29% and the low birth weight rate was 28%. CONCLUSION: Gestational diabetes mellitus is more common in HIV-infected women than in the general population and is related to combined antiretroviral therapy, especially the use of protease inhibitors, which suggests the need for close follow-up during pregnancy in HIV-infected patients. Nevertheless, the adverse perinatal consequences observed were more related to maternal factors than to antiretroviral therapy.
Authors:
Covadonga Martí; Jose M Peña; Isabel Bates; Rosario Madero; Isabel de José; Luis Felipe Pallardo; Jose Ramón Arribas; Juan Gonzalez-Garcia; Antonio Gonzalez; Juan José Vazquez
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  86     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2007  
Date Detail:
Created Date:  2007-05-08     Completed Date:  2007-06-05     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  409-15     Citation Subset:  IM    
Affiliation:
Department of Gynecology and Obstetrics, Maternity Hospital, Madrid, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-HIV Agents / adverse effects*,  therapeutic use
Cohort Studies
Diabetes, Gestational / chemically induced,  epidemiology*
Female
HIV Infections / drug therapy*,  transmission
Hepatitis C / complications,  epidemiology
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infectious Disease Transmission, Vertical / prevention & control
Obstetric Labor Complications / epidemiology*,  prevention & control
Obstetric Labor, Premature / epidemiology,  prevention & control
Pregnancy
Pregnancy Complications, Infectious / drug therapy,  epidemiology*
Pregnancy Outcome
Protease Inhibitors / adverse effects*,  therapeutic use
Risk Factors
Spain / epidemiology
Substance Abuse, Intravenous / complications,  epidemiology
Chemical
Reg. No./Substance:
0/Anti-HIV Agents; 0/Protease Inhibitors

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