| Pregnancy outcome in HIV-positive women in Enugu, Nigeria. | |
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MedLine Citation:
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PMID: 17464809 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This is a retrospective case-control study of 62 HIV-positive women and 100 HIV-negative controls who delivered in the University of Nigeria Teaching Hospital, Enugu, from 2 August, 2002 to 31 March, 2004. The HIV-positive women were relatively younger and of lower mean parity than the HIV-negative controls. They were also significantly more likely to have positive syphilis serology, higher mean duration of labour, perineal tear, puerperal sepsis and higher mean duration of hospital stay, higher prevalence of low birth weight, birth asphyxia and more admissions to the Newborn Special Care Unit than the controls (p < 0.05). However, there was no significant difference in the two groups in the prevalence of hepatitis B surface antigenaemia, recurrent vulvovaginitis, abortions, stillbirths, congenital anomalies, pre-term delivery, mean interval between rupture of membranes and delivery and mode of delivery (p > 0.05). All (100%) the HIV-negative and 96.8% of the seropositive women had voluntary counselling and testing (VCT). There was no maternal death in either group. Untreated maternal HIV infection is associated with adverse pregnancy outcomes in the form of increased maternal and fetal morbidities. Hence for optimal outcomes, prevention of mother-to-child transmission (PMTCT) programmes must incorporate combination drug treatment for the mother as early in pregnancy as possible. |
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Authors:
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H E Onah; S N Obi; T A Agbata; T C Oguanuo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 27 ISSN: 0144-3615 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-04-27 Completed Date: 2007-08-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 271-4 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria. hyacinon@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Case-Control Studies Female HIV Infections / epidemiology*, etiology, mortality Hospitals, University Humans Infant, Newborn Intensive Care Units, Neonatal Nigeria / epidemiology Obstetric Labor Complications Patient Admission Pregnancy Pregnancy Complications, Infectious / epidemiology*, etiology, mortality Pregnancy Outcome Retrospective Studies |
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