Pregnancy outcomes in young women with perinatally acquired human immunodeficiency virus-1

Shauna F Williams1, Megan H Keane-Tarchichi, Linda Bettica

  • 1Department of Obstetrics, Gynecology, and Women's Health, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, NJ 07101, USA.

Insights

Pregnancy outcomes for adolescents with perinatal human immunodeficiency virus (HIV) infection were reviewed. Despite complications, perinatal outcomes were favorable, with only one infant infected with HIV.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Pediatrics

Background:

  • Perinatal human immunodeficiency virus (HIV) infection presents unique challenges in adolescent pregnancies.
  • Understanding pregnancy and neonatal outcomes is crucial for optimizing care.

Purpose of the Study:

  • To review pregnancy and neonatal outcomes among perinatally HIV-infected pregnant adolescents at a single institution.
  • To identify common comorbidities and obstetrical complications in this population.

Main Methods:

  • Retrospective review of maternal and neonatal records for 10 perinatally HIV-infected adolescents (1997-2007).
  • Data abstracted included demographics, HIV viral load and CD4 counts, antiretroviral therapy, comorbidities, pregnancy outcomes, and neonatal HIV status.

Main Results:

  • The median age at first pregnancy was 18.5 years; 80% had cervical dysplasia/STIs, and 70% had hematologic abnormalities.
  • Common complications included preterm delivery (31%) and preeclampsia (23%). Cesarean delivery rate was 62%, primarily for HIV indication.
  • One infant (10%) acquired HIV infection; all infants were born alive.

Conclusions:

  • Perinatal outcomes for adolescents with HIV were favorable despite high rates of STIs, cesarean delivery, preterm birth, and hypertensive disorders.
  • Effective management strategies can lead to positive maternal and neonatal health outcomes in this population.
Abstract

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