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[Prophylactic cesarean section and HIV seropositive patients]
M Cohen1, A Berrebi, J Tricoire
1Départment de Gynécologie-Obstétrique, Centre Hospitalier La Grave, Toulouse.
Objectives:
HIV infection among children is essentially related to perinatal transmission. It seems the contamination occurs late in the pregnancy or during the labor. The benefits of cesarean section in HIV-infected women has to be examined.
Study Design:
A retrospective survey of all deliveries of 292 HIV-infected women, of the newborns and of the impact of different ways of delivery on transmission risks. 164 women had a pregnancy lasting more than 28 weeks, 27 underwent a cesarean section.
Results:
22.2% of patients who underwent a cesarean section contaminated their child, 25.2% among vaginal deliveries. No significant association was found between HIV transmission and delivery mode.
Conclusion:
We outline the necessary elements for the conduct of a conclusive efficacy trial of operative versus vaginal delivery.