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Published on: January 27, 2010
Post-cesarean section morbidity in HIV-positive women
V Maiques-Montesinos1, J Cervera-Sanchez, J Bellver-Pradas
1Hospital Maternal La Fé, Valencia, Spain.
Background:
The present work is an audit of post-cesarean section morbidity in HIV-positive women in the tertiary teaching hospital La Fé, Valencia, Spain.
Study Design:
Retrospective case-control study.
Subjects:
Forty-five HIV-positive pregnant women and 90 appropriately matched controls, delivered by cesarean section in the same hospital and managed using a uniform protocol.
Main Outcome Measures:
The duration of stay in hospital after cesarean section, the need for postoperative antibiotics and the incidence of major and minor puerperal complications. Baseline characteristics of HIV-positive women were also analyzed in relation to the morbidity after surgery.
Statistical Analysis:
Chi-square analysis for categorical data and parametric and non-parametric tests for numerical data, where appropriate.
Results:
Most HIV-positive women (86.7%) had a complicated recovery after surgery. A longer duration of stay in hospital (p<0.0005) and a greater incidence of major (p<0.003) and minor (p<0.00001) postoperative complications were observed in the HIV-positive group compared to the control group. HIV-positive women with > or =500 CD4 lymphocytes/mm3 had less post-cesarean section morbidity
Conclusions:
A greater post-cesarean section morbidity was found in HIV-positive women compared to the control women. Immunological status of HIV-positive women may be important in predicting puerperal morbidity after surgery.
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