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HIV in Critical Pregnancy

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Principles of Critical Care in Obstetrics

Abstract

In India, approximately 49,000 women living with HIV become pregnant and deliver each year which is about 6–10 % of the total world figure.

Most of the pregnant women are unaware of their HIV status at the time of diagnosis of pregnancy and some of them even are not aware of their status until labour. Maternal HIV-1 infection has been associated with an increased risk of PTB, but mechanisms underlying this association are undefined.

HIV-infected women were more likely than HIV-uninfected women to have pregnancy-induced hypertension, anaemia, breech presentations, stillborn babies and foetal deaths [Indian Study]. Which are common factors of critical pregnancy.

Pregnancy does not appear to influence the progression of HIV disease. Furthermore, pregnancy does not seem to affect survival of women infected with HIV.

HIV impacts on direct (obstetrical) causes of maternal mortality by an associated increase in pregnancy complications such as anaemia, postpartum haemorrhage and puerperal sepsis.

HIV is also a major indirect cause of maternal mortality by an increased susceptibility to opportunistic infections like tuberculosis and malaria. Critical pregnancy in presence of HIV infection poses greater challenge and requires special care.

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References

  1. Madhivanan P1, Krupp K, Kulkarni V, Kulkarni S, Vaidya N, Shaheen R, Philpott S, Fisher C. HIV testing among pregnant women living with HIV in India: are private healthcare providers routinely violating women’s human rights? BMC Int Health Hum Rights. 2014;14:71.

    Google Scholar 

  2. Slyker JA, et al. Correlates and outcomes of preterm birth, low birth weight, and small for gestational age in HIV-exposed uninfected infants. BMC Pregnancy Childbirth. 2014;14:7.

    Google Scholar 

  3. Lionel J, et al. HIV and obstetric complications and fetal outcomes in Vellore, India. Trop Doct. 2008;38(3):144–6.

    Google Scholar 

  4. Heather watts. Management of human immunodeficiency virus infection in pregnancy. N Engl J Med. 2002;346(24):1879–91.

    Google Scholar 

  5. Minkoff H, et al. The relationship of pregnancy to human immunodeficiency virus disease progression. Am J Obstet Gynecol. 2003;189(2):5529.

    Google Scholar 

  6. French R, Brocklehurst P. The effect of pregnancy on survival in women infected with HIV: a systematic review of the literature and meta-analysis. Br J Obstet Gynaecol. 1998;105(8):82735.

    Google Scholar 

  7. Pai NP, et al. Impact of round-the-clock, rapid oral fluid HIV testing of women in labor in rural India. PLoS Med. 2008;5(5):e92.

    Google Scholar 

  8. McIntyre J. Mothers infected with HIV. Br Med Bull. 2003;67:127–35.

    Google Scholar 

  9. Chaudhry, et al. http://emedicine.medscape.com/article/2042311overview

  10. Desai M, et al. Epidemiology and burden of malaria in pregnancy. Lancet Infect Dis. 2007;7:93–104.

    Google Scholar 

  11. ter Kuile FO, et al. The burden of co-infection with human immunodeficiency virus type 1 and malaria in pregnant women in sub-saharan Africa. Am J Trop Med Hyg. 2004;71 (suppl):41–54.

    Google Scholar 

  12. Marie-Hélène Irvine et al. vol 57: noveMBER noveMBRE 2011|Canadian Family Physician.

    Google Scholar 

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Correspondence to Atul Munshi MD, DGO, FICOG .

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© 2016 Springer India

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Munshi, A., Munshi, S. (2016). HIV in Critical Pregnancy. In: Gandhi, A., Malhotra, N., Malhotra, J., Gupta, N., Bora, N. (eds) Principles of Critical Care in Obstetrics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2686-4_17

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  • DOI: https://doi.org/10.1007/978-81-322-2686-4_17

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