Postpartum Morbidity Associated With Advanced HIV Disease

[摘要] Objective. To investigate the postpartum morbidity and postpartummanagement of febrile morbidity associated with advanced HIVinfection.Methods. A case control study of HIV infected women at a tertiarycare center during January 2000–June 2005 was performed.Postpartum morbidity was defined as endometritis, bloodtransfusion, wound complication, readmission, infectious morbidity,or unexpected surgery.Results. Women in Group 1 had AIDS (N=33), Group 2 were relatively immunocompetent HIV infected women (N=115), and Group 3 were uninfected women (N=152). Group 1 was more likely to have a postpartum morbidity (32.3 versus 19.3 and 13.2%,P=.03) and to havepostpartum imaging 18.8 versus 7.9 and 2.6%,P=.002. After controlling for potential confounders, cesarean delivery (OR 6.2, 95%CI 2.1–505.5) but not advanced HIV disease was associated with an increased risk of postpartum morbidity.Conclusion. Cesarean delivery and not advanced HIV diseaseincreases the risk of postpartum morbidity in women with AIDS.

[学科分类] 妇产科学