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Prenatal Ultrasound Screening for Fetal Anomalies and Outcomes in High-Risk Pregnancies due to Maternal HIV Infection : A Retrospective Study
Joint Authors
Schlößer, R.
Reitter, A.
Haberl, A. E.
Louwen, F.
Buxmann, H.
Stücker, A. U.
Herrmann, E.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-26
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Objective.
To assess the prevalence of prenatal screening and of adverse outcome in high-risk pregnancies due to maternal HIV infection.
Study Design.
The prevalence of prenatal screening in 330 pregnancies of HIV-positive women attending the department for prenatal screening and/or during labour between January 1, 2002 and December 31, 2012, was recorded.
Screening results were compared with the postnatal outcome and maternal morbidity, and mother-to-child transmission (MTCT) was evaluated.
Results.
One hundred of 330 women (30.5%) had an early anomaly scan, 252 (74.5%) had a detailed scan at 20–22 weeks, 18 (5.5%) had a detailed scan prior to birth, and three (0.9%) had an amniocentesis.
In seven cases (2.12%), a fetal anomaly was detected prenatally and confirmed postnatally, while in eight (2.42%) an anomaly was only detected postnatally, even though a prenatal scan was performed.
There were no anomalies in the unscreened group.
MTCT occurred in three cases (0.9%) and seven fetal and neonatal deaths (2.1%) were reported.
Conclusion.
The overall prevalence of prenatal ultrasound screening in our cohort is 74.5%, but often the opportunity for prenatal ultrasonography in the first trimester is missed.
In general, the aim should be to offer prenatal ultrasonography in the first trimester in all pregnancies.
This allows early reassurance or if fetal disease is suspected, further steps can be taken.
American Psychological Association (APA)
Reitter, A.& Stücker, A. U.& Buxmann, H.& Herrmann, E.& Haberl, A. E.& Schlößer, R.…[et al.]. 2013. Prenatal Ultrasound Screening for Fetal Anomalies and Outcomes in High-Risk Pregnancies due to Maternal HIV Infection : A Retrospective Study. Infectious Diseases in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-10.
https://search.emarefa.net/detail/BIM-454656
Modern Language Association (MLA)
Reitter, A.…[et al.]. Prenatal Ultrasound Screening for Fetal Anomalies and Outcomes in High-Risk Pregnancies due to Maternal HIV Infection : A Retrospective Study. Infectious Diseases in Obstetrics and Gynecology No. 2013 (2013), pp.1-10.
https://search.emarefa.net/detail/BIM-454656
American Medical Association (AMA)
Reitter, A.& Stücker, A. U.& Buxmann, H.& Herrmann, E.& Haberl, A. E.& Schlößer, R.…[et al.]. Prenatal Ultrasound Screening for Fetal Anomalies and Outcomes in High-Risk Pregnancies due to Maternal HIV Infection : A Retrospective Study. Infectious Diseases in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-10.
https://search.emarefa.net/detail/BIM-454656
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-454656