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Titolo:
Intrapartum fetal invasive procedures and perinatal transmission of HIV
Autore:
Maiques, V; Garcia-Tejedor, A; Perales, A; Navarro, C;
Indirizzi:
Hosp Maternal La FE, Valencia 46009, Spain Hosp Maternal La FE Valencia Spain 46009 al La FE, Valencia 46009, Spain
Titolo Testata:
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY
fascicolo: 1, volume: 87, anno: 1999,
pagine: 63 - 67
SICI:
0301-2115(199911)87:1<63:IFIPAP>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; MOTHER-TO-CHILD; DELIVERY; TYPE-1; ZIDOVUDINE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Maiques, V Hosp Maternal La FE, 2 Planta,Avda Campanar 21, Valencia 46009,Spain Hosp Maternal La FE 2 Planta,Avda Campanar 21 Valencia Spain 46009
Citazione:
V. Maiques et al., "Intrapartum fetal invasive procedures and perinatal transmission of HIV", EUR J OB GY, 87(1), 1999, pp. 63-67

Abstract

Objective: To study the effect of intrapartum use of fetal invasive procedures (scalp electrodes or scalp pH sampling) on perinatal transmission rateof HIV. Study design: We compared the perinatal transmission of 57 HIV pregnancies in which invasive procedures (IP) were performed with a control group of 214 pregnancies without IP. We controlled for potentially risk factors (maternal CD4 level, gestational age, antiretroviral therapy use, duration of rupture of membranes (ROM), length of labor and mode of delivery) by stratification and logistic regression, Results: Transmission rate in the group with IP was 26.3% (15/57) versus 13.6% (29/214) in the control group, relative risk (RR) 1.9, 95% CI (1.1-3.4). By logistic regression we observed three significant factors involved in transmission of HN: low maternal CD4 level (odds ratio (OR)=3.3, 95% CI=1.2-9.4), duration of ROM (OR=2.9, 95%CI=1.1-7.9) and IP use (OR=3.5, CI 95%=1.2-9.6). Interaction between duration of ROM and IP are also significant (OR=5.1, CI 95%=1.5-17.5). Conclusions: Intrapartum use of fetal scalp electrodes or fetal scalp pH sampling increases the perinatal transmission of HIV and should therefore be avoided in HIV patients. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/05/20 alle ore 13:22:50