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Increasing Number and Proportion of Adverse Obstetrical Outcomes among Women Living with HIV in the Ottawa Area: A 20-Year Clinical Case Series
Joint Authors
Buchan, Sarah
Muldoon, Katherine A.
Spaans, Johanna N.
Balfour, Louise
Samson, Lindy
Walker, Mark
Cameron, D. William
Source
Canadian Journal of Infectious Diseases and Medical Microbiology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-27
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
The prevalence and associated risks with adverse obstetrical outcomes among women living with HIV are not well measured.
The objective of this study was to longitudinally investigate the prevalence and correlates of adverse obstetrical outcomes among women with HIV.
Methods.
This 20-year (1990–2010) clinical case series assessed the prevalence of adverse obstetrical outcomes among pregnant women with HIV receiving care at The Ottawa Hospital (TOH).
General estimating equation modeling was used to identify factors independently associated with adverse obstetrical outcomes, while controlling for year of childbirth clustering.
Results.
At TOH, there were 127 deliveries among 94 women (1990–2010): 22 preterm births, 9 births with low birth weight, 12 births small for gestational age, and 4 stillbirths.
Per year, the odds of adverse obstetrical outcomes increased by 15% (OR: 1.15, 95% CI: 1.03–1.30).
Psychiatric illness (AOR: 2.64, 95% CI: 1.12–6.24), teen pregnancy (AOR: 3.35, 95% CI: 1.04–1.46), and recent immigrant status (AOR: 7.24, 95% CI: 1.30–40.28) were the strongest correlates of adverse obstetrical outcomes.
Conclusions.
The increasing number and proportion of adverse obstetrical outcomes among pregnant women with HIV over the past 20 years highlight the need for social supports and maternal and child health interventions, especially among adolescents, new immigrants, and those with a history of mental illness.
American Psychological Association (APA)
Buchan, Sarah& Muldoon, Katherine A.& Spaans, Johanna N.& Balfour, Louise& Samson, Lindy& Walker, Mark…[et al.]. 2016. Increasing Number and Proportion of Adverse Obstetrical Outcomes among Women Living with HIV in the Ottawa Area: A 20-Year Clinical Case Series. Canadian Journal of Infectious Diseases and Medical Microbiology،Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1099968
Modern Language Association (MLA)
Buchan, Sarah…[et al.]. Increasing Number and Proportion of Adverse Obstetrical Outcomes among Women Living with HIV in the Ottawa Area: A 20-Year Clinical Case Series. Canadian Journal of Infectious Diseases and Medical Microbiology No. 2016 (2016), pp.1-9.
https://search.emarefa.net/detail/BIM-1099968
American Medical Association (AMA)
Buchan, Sarah& Muldoon, Katherine A.& Spaans, Johanna N.& Balfour, Louise& Samson, Lindy& Walker, Mark…[et al.]. Increasing Number and Proportion of Adverse Obstetrical Outcomes among Women Living with HIV in the Ottawa Area: A 20-Year Clinical Case Series. Canadian Journal of Infectious Diseases and Medical Microbiology. 2016. Vol. 2016, no. 2016, pp.1-9.
https://search.emarefa.net/detail/BIM-1099968
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1099968