Management and Outcome of Pregnant Women with HIV Acquired by Vertical Transmission

Verónica Serrano de la Cruz Delgado^*, Alicia Martínez Varea, María José Núñez Valero, Vicente Diago Almela, Vicente Maiques Montesinos, Amparo García Tejedor, Alfredo Perales Marín

HUP La Fe, Valencia, Spain.

DOI: 10.4236/ojog.2015.59068                

Abstract

The majority of children with perinatally acquired human immunodeficiency virus (HIV) do not survive beyond childhood but this is changing due to the benefit of antiretroviral therapy for the perinatally infected cohort, so affected children are now approaching the age to be mothers. The aim of this article is to evaluate the outcomes of pregnant women with HIV acquired by vertical transmission in our centre and encourage the results obtained in “Thirty Years Later: Pregnancies in Female Perinatally Infected with Human Immunodeficiency Virus-1”, a review article published in this journal in 2012 [2]. We report 6 patients with eight pregnancies with HIV acquired by vertical transmission. They delivered a total of nine newborns between 2004 and 2013. In any case, mother-to-child transmission was reported. The management of pregnant women with HIV acquired by vertical transmission is complicated, since the patients are the most of the cases young and the compliance to the treatment may be poor. The prematurity was the more frequent complication and the cesarean section was the more frequent form of ending. In our case series, mother-to-child transmission was absent.

Keywords

HIV, Perinatally Acquired HIV, Vertical Transmission HIV, Pregnancy

Conflicts of Interest

The authors declare no conflicts of interest.

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