1. Perinatal and pregnancy outcomes of women infected with HIV treated with long-term highly active antiretroviral therapy.
- Author
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HUANG Jie-tao, YI Xiao-yun, PENG Jing, and LU Yi-jun
- Abstract
Objective To investigate the perinatal complications, complications and prognosis of HIV parturient women treated with long-term high efficiency antiretroviral therapy. Methods We collected clinical basic information of 105 cases of long-term effective antiretroviral therapy (ART) >1 year of maternal HIV, in Department of Obstetrics, Guangxi Zhuang Autonomous Region Hepu County People's Hospital (69 cases) and Department of Obstetrics, Guangxi Maternal and Child Health Hospital (36 cases) treated in January 2016-January 2020, and randomly selected 105 cases of exclude HIV infections and childbirth age pregnant women in the two hospitals (70 cases and 35 cases) at the same time as control group, compared and analyzed two groups of perinatal maternal obstetric complications, complications, and pregnancy outcomes. Results The rates of anemia (29 cases, 27.6%), gestational hypertension (33, 31.4%), intrauterine stillbirth (10, 9.5%), polyhydramnios (23, 21.9%), premature rupture of membranes (17, 16.2%), postpartum hemorrhage (20, 19.0%) and placental abruption (15, 14.3%) in HIV parturient women were significantly higher than those in normal parturient women (P<0.05). The weight of newborn (3 313.18±216.14) g in HIV parturient women was significantly lower than that of normal parous (3 395.88±195.45) g (P<0.05); incidence of preterm birth (15, 14.3%), fetal distress (16, 15.2%), malposition (16, 15.2%), the incidence rate of amniotic fluid dung dye (23, 21.9%) and Apgar<5 points (16, 15.2%), neonatal ICU hospitalization rates (22, 21.0%), the incidence of neonatal pneumonia (17, 16.2%) in HIV parturient women were significantly higher than that in normal women (P<0.05). Conclusion HIV patients treated with long-term high performance antiretroviral therapy have more perinatal complications and complications, lower birth weight and more complications, but contribute to improve neonatal mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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