Abstract
Objective: To assess the intervention related risk in HIV-infected women, undergoing caesarean
section (CS). Setting: Tertiary care center for high risk obstetrics and infectious diseases in pregnancy.
Patients and methods: Thirty-three HIV-positive women and one hundred and sixty-eight controls, cross
matched for age, weight, parity, obstetrical characteristics at delivery and indication
for CS, were prospectively recruited for the study. Infection related characteristics,
as mode of acquisition, drug abuse, immune status and stage of disease were also recorded.
Complications of the intervention were evaluated according to infectious status and
risk factors. Results: Post-operative complications were significantly more frequent among HIV-infected
mothers. More advanced disease and maternal age were the risk factors statistically
related to complications. Discussion: According to our data, CS carries a higher chance of post-operative complications
in HIV-infected women, these complications being also related with the severity of
infection (stage and duration of the disease). Given the characteristics of the population
in the study (mode of acquisition, prevalence of early stage of the disease), the
rate of complication is still relatively low compared to non-western, malnourished,
drug-abusers groups.
Keywords
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Article info
Publication history
Accepted:
September 1,
1999
Identification
Copyright
© 2000 Elsevier Science Ireland Ltd. Published by Elsevier Inc. All rights reserved.
