Clinical and epidemiological profile and reproductive outcome in hiv-infected pregnant women assisted at a university hospital maternity in vitória, brazil

Authors

  • Helena Lucia Barroso dos Reis
  • Mauro Romero Leal Passos
  • Adauto Dutra Moraes Barbosa
  • Dennis de Carvalho Ferreira
  • Philippe Godefroy
  • Susana Cristina Aidé Viviani Fialho
  • Geisa Baptista Barros
  • Paulo Roberto Merçon de Vargas

Keywords:

HIV, pregnancy, health profile, perinatal death

Abstract

Introduction: The infection by the human immunodeficiency virus (HIV), as well as the acquired immune deficiency syndrome (Aids), a worldwide epidemic, may lead to serious consequences in terms of maternal and fetal morbidity and mortality. Objective: To describe the clinical and epidemiological profiles and the reproductive outcome in HIV-infected pregnant women. Methods: Cross-sectional study, with 109 pregnant women infected by HIV who had their termination in a university hospital maternity in Vitória, Espírito Santo, from November 2001 to May 2012. The data were extracted from medical and public records. Results: The most prominent findings among the cases were average maternal age of 28 years, non-white (76.1%), up to 8 years of elementary school (63.3%), housewives (59.4%) and marital status married/cohabitation (70.6%). The nulliparous were 24.1%, and 15.7% had 3 or more childbirths, 33% had a diagnosis of HIV infection during pregnancy, and 53.7% of pregnant women met the criteria for Aids. The cesarean occurred in 82.6% of cases, preterm birth in 17.4%, and low birth weight in 23.9% and perinatal death in 4.6% of the newborns. Conclusion: It has been observed, in this casuistry, a pregnant women profile of low socioeconomic level. Preterm birth and perinatal death were more common than in the general population, indicating the need for preventive actions for monitoring the HIV infected pregnant women in order to reduce these events.

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Author Biographies

Helena Lucia Barroso dos Reis

MS in Maternal Infant Health by Universidade Federal Fluminense (UFF) – Niterói (RJ); Gynecologist and Obstetrics at Cassiano Antonio de Moraes University Hospital at Universidade Federal do Espírito Santo (UFES) – Vitória (ES), Brazil.

Mauro Romero Leal Passos

Full Professor and Dean of the DST Sector at UFF – Niterói (RJ), Brazil.

Adauto Dutra Moraes Barbosa

PhD in Pediatrics by Universidade Federal de São Paulo (UNIFESP) – São Paulo (SP); Associate Professor in Pediatrics and Coordinator of Maternal Infant Health Professional Master’s Degree Program at UFF – Niterói (RJ), Brazil.

Dennis de Carvalho Ferreira

PhD in Science (Microbiology) by Universidade Federal do Rio de Janeiro (UFRJ) – Rio de Janeiro (RJ); Professor at School of Dentistry at Universidade Estacio de Sá (UNESA) – Rio de Janeiro (RJ).

Philippe Godefroy

MS in Maternal Infant Health by UFF – Niterói (RJ); Tocogynecology Coordinator at Hospital Estadual dos Lagos (HEL) – Saquarema (RJ), Brazil.

Susana Cristina Aidé Viviani Fialho

PhD in Medicine by UFRJ – Rio de Janeiro (RJ); Gynecology Adjunct Professor at UFF – Niterói (RJ), Brazil.

Geisa Baptista Barros

PhD in Infectology and Tropical Medicine by Universidade Federal de Minas Gerais (UFMG) – Belo Horizonte (MG); Pediatrics Adjunct Professor at UFES – Vitória (ES), Brazil.

Paulo Roberto Merçon de Vargas

PhD in Pathology by UFMG – Belo Horizonte (MG); Pathology Professor at Health Science Center at UFES – Vitória (ES), Brazil.

Published

2022-04-20

How to Cite

1.
Reis HLB dos, Passos MRL, Barbosa ADM, Ferreira D de C, Godefroy P, Fialho SCAV, et al. Clinical and epidemiological profile and reproductive outcome in hiv-infected pregnant women assisted at a university hospital maternity in vitória, brazil. DST [Internet]. 2022 Apr. 20 [cited 2024 Mar. 29];27(1-2):9-15. Available from: https://www.bjstd.org/revista/article/view/689

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Section

Original Article