Trends in hospitalizations of pregnant HIV-infected women in the United States: 2004 through 2011

Ewing, Alexander C.; Datwani, Hema; Flowers, Lisa; Ellington, Sascha; Jamieson, Denise J.; Kourtis, Athena P.

doi:10.1016/j.ajog.2016.05.048

Cited by 21 publications

(12 citation statements)

References 39 publications

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“…Urinary tract infections (UTI) represented the second main reason for hospitalization in this study, a result similar to that found in the state of California where hospital admissions of pregnant women by UTI totaled 13.2% (2) . However, this result was higher than that found in a study in the city of Rio Grande (RS), with hospitalization prevalence for the treatment of self-reported UTI by the 2,288 pregnant women in the study being 2.9% (9) .…”

Section: Discussionsupporting

confidence: 85%

“…It is estimated that more than four million pregnant women between the ages of 15 and 49 were hospitalized in the United States in 2011 (2) . In Brazil, a study carried out in the state of Paraná showed that 37.8 hospitalizations occurred during the gestation period for every 100 births due to obstetric complications in 2010 (3) , which can be caused by biological, socioeconomic or care factors.…”

Section: Introductionmentioning

confidence: 99%

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Hospitalização durante a gravidez segundo financiamento do parto: um estudo de base populacional

Falavina

Oliveira

Melo

et al. 2018

Rev. esc. enferm. USP

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Objective To analyze the occurrence, profile and main causes of hospitalization during pregnancy according to the type of childbirth financial coverage. Method A cross-sectional population-based study carried out with puerperal women through a stratified sample, calculated according to the hospital and the type of childbirth financial coverage source: public sector (SUS) or private (not SUS). The sociodemographic profile, the rate of obstetric complications and the causes of hospitalization were analyzed, coded according to International Classification of Diseases. Results A total of 928 postpartum women were interviewed, of whom 32.2% reported at least one hospitalization during pregnancy. Those with childbirth covered by SUS were less favored because they were the majority among hospitalized women (57.2%), with a higher percentage of adolescents (18.1%), lower education level (91.8%), low family income (39.3%) and fewer prenatal consultations (25.3%). The most frequent causes of hospitalization were "other maternal diseases that complicate pregnancy" (24.6%) (with emphasis on anemia and influenza), urinary tract infection (13.1%), preterm labor (8.7%) and hypertension (7.2%). Conclusion Anemia, influenza, urinary tract infection, preterm labor and hypertension should especially be prevented and treated to avoid hospital admissions during pregnancy, especially among pregnant women covered by SUS.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Hospitalização durante a gravidez segundo financiamento do parto: um estudo de base populacional

Falavina

Oliveira

Melo

et al. 2018

Rev. esc. enferm. USP

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“…8,11 This may in part explain the increasing incidence of PIH in this population in some studies. 12 Vitamin D is a micronutrient classically known to regulate calcium homeostasis and bone health. 13 Dietary forms include ergocalciferol (vitamin D 2 ) and cholecalciferol (vitamin D 3 ), both of which are converted in the liver to 25(OH)D, which is the main circulating form and the form commonly accepted for laboratory analysis of vitamin D levels.…”

mentioning

confidence: 99%

Low Bioactive Vitamin D Is Associated with Pregnancy-Induced Hypertension in a Cohort of Pregnant HIV-Infected Women Sampled Over a 23-Year Period

et al. 2019

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Objective To examine the association of vitamin D insufficiency and risk of pregnancy-induced hypertension (PIH) among human immunodeficiency virus (HIV)-infected pregnant women. Study Design This is a retrospective cohort study evaluating the impact of low maternal vitamin D levels on PIH and perinatal outcomes among HIV-infected pregnant women receiving care at an urban HIV center from 1991 to 2014. Results A total of 366 pregnant women were included, of which 11% developed PIH. Lower levels of 25-hydroxyvitamin D (25(OH)D) and bioactive 1,25-dihydroxyvitamin D (1,25(OH)2D) were associated with increased HIV disease activity. 25(OH)D levels were not significantly associated with the incidence of PIH. Higher 1,25(OH)2D levels were associated with reduced incidence of PIH in univariate (odds ratio, OR: 0.87 [95% confidence interval, CI: 0.79–0.95], p = 0.004) and multivariate (OR: 0.88 [95% CI: 0.80–0.97], p = 0.010) analyses. No association was found between 25(OH)D levels and other obstetric outcomes. Lower 1,25(OH)2D levels were associated with group B Streptococcus colonization (OR: 0.92 [95% CI: 0.86–0.99]) and low birth weight (LBW) (OR: 0.90 [95% CI: 0.83–0.98]) on multivariate analysis. Mean 1,25(OH)2D levels were significantly lower in women with preterm delivery and LBW infants. Conclusion Lower bioactive vitamin D levels are related to PIH in HIV-infected women. This association may be related to the coexistence of abnormal placental vitamin D metabolism and abnormal placental implantation.

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“…When performed, statistical analyses either did not control for important confounders for development of HDP or suffered from multiple comparisons without appropriate correction (3,7,22,23). Despite these limitations, a total of seven studies were deemed to be of "good" quality, in that the design and the included populations were sufficient to draw conclusions regarding the relationship of cART and HDP among pregnant WLHIV (7,9,15,(24)(25)(26)(27).…”

Section: All Included Studiesmentioning

confidence: 99%

Combined antiretroviral therapy for HIV and the risk of hypertensive disorders of pregnancy: A systematic review

Premkumar

Dude

Haddad

et al. 2019

Pregnancy Hypertension

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Trends in hospitalizations of pregnant HIV-infected women in the United States: 2004 through 2011

Cited by 21 publications

References 39 publications

Hospitalização durante a gravidez segundo financiamento do parto: um estudo de base populacional

Hospitalização durante a gravidez segundo financiamento do parto: um estudo de base populacional

Low Bioactive Vitamin D Is Associated with Pregnancy-Induced Hypertension in a Cohort of Pregnant HIV-Infected Women Sampled Over a 23-Year Period

Combined antiretroviral therapy for HIV and the risk of hypertensive disorders of pregnancy: A systematic review

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