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Titolo:
Complications according to mode of delivery among human immunodeficiency virus-infected women with CD4 lymphocyte counts of <= 500/mu L
Autore:
Watts, DH; Lambert, JS; Stiehm, ER; Bethel, J; Whitehouse, J; Fowler, MG; Read, J;
Indirizzi:
NICHHD, Pediat Adolescent & Maternal AIDS Branch, Bethesda, MD 20892 USA NICHHD Bethesda MD USA 20892 Maternal AIDS Branch, Bethesda, MD 20892 USA Univ Maryland, Inst Human Virol, Rockville, MD USA Univ Maryland Rockville MD USA land, Inst Human Virol, Rockville, MD USA Univ Calif Los Angeles, Los Angeles, CA USA Univ Calif Los Angeles Los Angeles CA USA s Angeles, Los Angeles, CA USA NIAID, Div AIDS, Bethesda, MD 20892 USA NIAID Bethesda MD USA 20892NIAID, Div AIDS, Bethesda, MD 20892 USA
Titolo Testata:
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
fascicolo: 1, volume: 183, anno: 2000,
pagine: 100 - 107
SICI:
0002-9378(200007)183:1<100:CATMOD>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAVENOUS IMMUNOGLOBULIN; ANTIBIOTIC-PROPHYLAXIS; BACTERIAL VAGINOSIS; CESAREAN-SECTION; RISK-FACTORS; ENDOMETRITIS; TRANSMISSION; ZIDOVUDINE; PREGNANCY; MORBIDITY;
Keywords:
postpartum complications; human immunodeficiency virus-infected women;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Watts, DH NICHHD, Pediat Adolescent & Maternal AIDS Branch, 6100 Execut Blvd,4B11, Bethesda, MD 20892 USA NICHHD 6100 Execut Blvd,4B11 Bethesda MD USA 20892 MD 20892 USA
Citazione:
D.H. Watts et al., "Complications according to mode of delivery among human immunodeficiency virus-infected women with CD4 lymphocyte counts of <= 500/mu L", AM J OBST G, 183(1), 2000, pp. 100-107

Abstract

OBJECTIVE: We sought to describe rates of and risk factors for complications by delivery mode among human immunodeficiency virus-infected women with CD4 counts of less than or equal to 500/mu L. STUDY DESIGN: Complication rates were calculated by delivery mode, as follows: planned cesarean delivery performed without labor or rupture of membranes, other cesarean delivery performed after labor or rupture of membranes,or vaginal delivery. Risk factors were evaluated. RESULTS: Major complications in the planned cesarean delivery (n = 37), other cesarean delivery (n = 95), and vaginal delivery (n = 365) groups were amnionitis or endometritis (16%, 27%, and 7%, respectively), wound infection (5%, 8%, and <1%, respectively), and transfusion (8%, 6%, and 3%, respectively). Any peripartum infection occurred among 16 (18%) of those with a CD4 count of <200/mu L and 43 (13%) with a CD4 count of greater than or equalto 200/mu L (P = .17). On multivariate analyses, factors associated with amnionitis-endometritis were cesarean delivery and African American race, and a factor associated with transfusion was third-trimester anemia. CONCLUSION: Endometritis and wound infection occurred more frequently among human immunodeficiency virus-infected women after cesarean than among women undergoing vaginal delivery; however, complication rates overall were within the range reported in human immunodeficiency virus-negative women, Measures to decrease complications in human immunodeficiency virus-infected women, such as greater use of prophylactic antibiotics, should be assessed.

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Documento generato il 25/09/20 alle ore 00:17:15