Pregnancy Outcomes in HIV-Infected Women: Experience from a Tertiary Care Center in India

Dadhwal, Vatsla; Sharma, Aparna; Khoiwal, Kavita; Deka, Dipika; Sarkar, Plaboni; Vanamail, Mps P.

doi:10.21106/ijma.196

Cited by 31 publications

(36 citation statements)

References 18 publications

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“…In studies done by Shiradkar et al,and Dadhwal et al,76.95% and 80% partners tested positive respectively. 6,15 Mohite et al reported a partner testing rate of 54.9%, with an increasing trend of acceptance over the years, as stated in our study. 9 In our study 50.88% of the antenatal seropositive mothers were primigravidas, with majority being housewives from low income classes, with a very poor educational background.…”

Section: Resultssupporting

confidence: 87%

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HIV in pregnancy: a 9 year study of the seroprevalence, sociodemographic factors and pregnancy outcomes of seropositive women at a tertiary care hospital in Mumbai, Maharashtra, India

Fonseca

Mehta

2019

Int J Reprod Contracept Obstet Gynecol

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Background: HIV can cause considerable morbidity and mortality in those affected. An effective PPTCT programme helps in reducing the spread of HIV by vertical transmission and improving the life of the women and her baby.Methods: A retrospective study was done at a tertiary care hospital, including pregnant women registered and delivered at the hospital during a period of 9 years from January 2010 to December 2018. Pretest counseling, HIV testing, Post-test counseling were done and antiretroviral prophylaxis given as per the NACP guidelines. Sociodemographic characteristics, obstetric and maternal-foetal outcome of seropositive women and efficacy of PPTCT services were analyzed.Results: Out of the 58,205 antenatal mothers included, 55,256 (94.93%) accepted HIV testing. 171 of these tested positive (0.31%). 70 spouses of the 171 seropositive women tested positive, 53 tested negative and 48 did not undergo the HIV test. Majority of seropositive women were primigravidas; housewives from urban areas, from low income and educational background and with no history of any contraceptive use. 7.6% had an MTP, 1.75% a spontaneous abortion and 0.58% an ectopic pregnancy. Of the 154 births, 35.71% underwent caesarean sections. There were 96.7% live births in our study and the perinatal mortality rate was 5.19%. After 2013, all mother-baby pairs were given ARV prophylaxis.Conclusions: Utilization of PPTCT services has increased through the years, decreasing the vertical transmission and seroprevalence rate. Increasing the acceptance rates of HIV testing, both by patients and partners may further help in curbing the spread of this condition.

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Section: Resultssupporting

confidence: 87%

“…et al, there were 11.53% abortions, and 76.15% delivered vaginally and 12.30% by Radhika et al, reported an abortion rate of 10.3%, and caesarean section rate of 43.6% 8. We had a NICU admission rate of 19.46%, whereas Dadhwal et al, had a NICU admission rate of 8.5% 15. …”

mentioning

confidence: 66%

HIV in pregnancy: a 9 year study of the seroprevalence, sociodemographic factors and pregnancy outcomes of seropositive women at a tertiary care hospital in Mumbai, Maharashtra, India

Fonseca

Mehta

2019

Int J Reprod Contracept Obstet Gynecol

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“…For the pregnant woman, recognizing herself as infected by the virus implies the need to redefine the value of her own life and that of the fetus being generated, as well as the meanings of interpersonal relationships and even their own death 14 . Thus, having knowledge of their positive serology during pregnancy, the woman suffers an intense psychological impact 15 .…”

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confidence: 99%

Fases psicológicas de gestantes com HIV: estudo qualitativo em hospital

et al. 2019

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There has been a paradigm shift regarding the prognosis of Human Immunodeficiency Virus infection, changing it from death to a chronic condition, but the infection still implies a review of the life of women who are living with this virus. The objective of this article is to present the psychological phases which pregnant women go through after knowing about their infection. A clinical-qualitative study was carried out, applying individual interviews, with an intentional sample, using the theoretical saturation criterion. Three evolutionary psychological phases emerged from the analysis: emotional confusion; existential doubt; functional ambiguity. The news of the presence of the virus brings intense emotions triggering defense mechanisms, especially, against the strong fear of vertical transmission. It is, thus, fundamental for health teams to broaden the understanding of this experience so significant for pregnant women and their families. Resumo Fases psicológicas de gestantes com HIV: estudo qualitativo em hospitalHouve mudança de paradigma quanto ao prognóstico da infecção pelo vírus da imunodeficiência humana, passando da morte para problema crônico, mas ainda hoje a infecção implica revisão de vida da mulher que convive com a doença. O objetivo deste artigo foi apresentar as fases psicológicas pelas quais passam as gestantes após descobrirem a contaminação. Foi realizado estudo clínico-qualitativo a partir de entrevistas individuais, e a amostra foi intencional e fechada pelo critério de saturação teórica. Após análise qualitativa de conteúdo, foram estabelecidas três fases psicológicas evolutivas: confusão emocional, dúvida existencial e ambiguidade funcional. A notícia do teste positivo desencadeia emoções intensas e mecanismos de defesa, sobretudo devido ao medo de transmissão vertical. Dessa forma, é fundamental que equipes de saúde ampliem a compreensão sobre esta vivência tão significativa para gestantes e seus familiares. Palavras-chave: Síndrome de imunodeficiência adquirida. Gravidez. Bioética. Pesquisa qualitativa. Resumen Fases psicológicas de embarazadas con VIH: estudio cualitativo en un hospitalHubo un cambio de paradigma con respecto al pronóstico de la infección por Virus de la Inmunodeficiencia Humana, pasando de la muerte a un problema crónico, pero aún hoy la infección implica la revisión de la vida de la mujer que convive con la enfermedad. El objetivo de este artículo fue presentar las fases psicológicas por las que pasan las embarazadas luego de descubrir la contaminación. Se realizó un estudio clínico-cualitativo, a partir de entrevistas individuales y la muestra fue intencional y cerrada por el criterio de saturación teórica. Luego del análisis cualitativo de contenido, se establecieron tres fases psicológicas evolutivas: confusión emocional, duda existencial y ambigüedad funcional. La noticia del test positivo desencadena emociones intensas y mecanismos de defensa, sobre todo debido al temor a la transmisión vertical. De esta forma, es fundamental que los equipos de salud amplíen l...

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“…9 On the contrary, in study done by Dadhwal et al, the mean birth weight was lower in new born of HIV infected women. 10 Brocklehurst et al and Xiao PL reported that LBW and PTD were associated with maternal HIV infection. 11,12 Habib et al, has also shown an association between maternal HIV status and preterm labour.…”

Section: Discussionmentioning

confidence: 99%

Feto-maternal outcome in human immunodeficiency virus seropositive mothers in co-relation with CD4 count

Trivedi

Nagar

Rastogi

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: To study the effect of human immunodeficiency virus (HIV) infection on pregnancy outcomes and new born as mother to child transmission of HIV is a major route on new infections in children and compare it with HIV uninfected pregnancies.Methods: Prospective comparative study conducted on 40 HIV seropositive and 40 HIV seronegative pregnant women attending ANC and delivering in the department of obstetrics and gynecology, S. M. S. Medical College, Jaipur, Rajasthan, India.Results: CD4 count had no effect on birth weight of baby or term of delivery. HIV seropositive pregnancies were more prone to IUD, still birth and preterm birth (p=0.029). Mother to child transmission was 2.7%.Conclusions: HIV infection increases the risk of adverse foetal outcome in terms of intrauterine demise, still birth and preterm labour.

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Pregnancy Outcomes in HIV-Infected Women: Experience from a Tertiary Care Center in India

Cited by 31 publications

References 18 publications

HIV in pregnancy: a 9 year study of the seroprevalence, sociodemographic factors and pregnancy outcomes of seropositive women at a tertiary care hospital in Mumbai, Maharashtra, India

HIV in pregnancy: a 9 year study of the seroprevalence, sociodemographic factors and pregnancy outcomes of seropositive women at a tertiary care hospital in Mumbai, Maharashtra, India

Fases psicológicas de gestantes com HIV: estudo qualitativo em hospital

Feto-maternal outcome in human immunodeficiency virus seropositive mothers in co-relation with CD4 count

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