Analysis of a HIV Positive Women who Gave Birth in the Czech Republic

Czech version

Authors: J. Záhumenský ¹; B. Zmrhalová ¹; D. Jilich ²; D. Driák ¹; H. Rozsypal ²; M. Staňková ²; M. Krčmář ¹; K. Hurt ¹; K. Maxová ¹; M. Halaška ¹
Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK, FN na Bulovce, Praha přednosta prof. MUDr. M. Halaška, DrSc. ¹; Klinika infekčních tropických a parazitárních nemocí 1. LF UK, FN na Bulovce, Praha přednosta doc. MUDr. M. Holub, Ph. D. ²
Published in: Ceska Gynekol 2007; 72(4): 228-232
Category: Original Article

Overview

Objective:
An analysis of HIV positive women who gave birth between 1st January 1985 to 31st December 2006 in the Czech Republic.

Subject:
A retrospective descriptive analysis.

Setting:
Teaching Hospital Bulovka, 1^st Faculty of Medicine, Charles University, Prague. Subjekt and methods: The study included HIV positive women that gave birth between 1^st January 1985 to 31^st December 2006 at Bulovka hospital. The group of 62 HIV positive women ( including 7 secundiparae) gave birth to 71 new-borns (twice twins). The deliveries were performed by C-section. We interrupted breast-feeding by all these women.

Results:
All new-borns were born alive, no one had Apgar score less than 7 at five minutes. No congenital disorders were found. Three new-borns were transfered to Intensive care unit for new-born babies , two due to dysmaturity and one due to abstinence syndrome. 3 new-borns out of total 71 new-borns were HIV positive (4.2%).

Conclusion:
Routine prenatal screening for HIV and high-quality cooperation between obstetricians and infection control doctors are the basic condition of low rate of vertical trasmission HIV infection in the Czech Republic.

Key words:
HIV, pregnancy, labour, AIDS