Evidence map›Paper›PMID 22819316›Full record

Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2012

Missed opportunities for prevention of mother-to-child transmission of HIV-1 in the NISDI Perinatal and LILAC cohorts.

Jennifer S Read, Rachel A Cohen, Laura Freimanis Hance, Elizabeth S Machado, Marisa M Mussi-Pinhata, Mariana Ceriotto, Breno Santos, Regina Succi, Jose H Pilotto, Jorge O Alarcon and 2 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. HIV Screening During Pregnancy in a U.S. HIV Epicenter.Infectious diseases in obstetrics and gynecology · 2020
    Article
  4. Article
  5. Article
  6. Vertical Transmission of HIV-1 in the Metropolitan Area of Belo Horizonte, Brazil: 2006-2014.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018
    Observational
  7. Article
  8. Article
  9. Article
  10. A case series of third-trimester raltegravir initiation: Impact on maternal HIV-1 viral load and obstetrical outcomes.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 3 countries.

Jennifer S ReadPediatric, Adolescent, and Maternal AIDS Branch, CRMC, NICHD, NIH, DHHS, Bethesda, USA. jennifer.read@hhs.gov
Rachel A Cohen
Laura Freimanis Hance
Elizabeth S Machado
Marisa M Mussi-Pinhata
Mariana Ceriotto
Breno Santos
Regina Succi
Jose H Pilotto
Jorge O Alarcon
Regis Kreitchmann
NISDI Perinatal/LILAC Study Group
Westat (United States) · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USHospital Nossa Senhora da Conceição · BRHospital Universitário Clementino Fraga Filho · BRIrmandade da Santa Casa de Misericórdia de São Paulo · BRNational University of San Marcos · PEUniversidade de São Paulo · BRUniversidade Federal de São Paulo · BR

Funding

NICHD INTERNATIONAL PEDIATRIC AND PERINATAL HIV STUDIES NETWORK COORDI-275033345N01HD033345 · NICHD · WESTAT · PI NESEL, CAROL · 2004 to 2006
–
NICHD NIH HHS HHSN267200800001CNICHD NIH HHS N01 HD033345NICHD NIH HHS N01-HD-3-3345NICHD NIH HHS N01-HD-8-0001NIDDK NIH HHS HHSN267200800001CNIDDK NIH HHS HHSN267200800001G
6 · The paper itself

Abstract

objectiveTo evaluate cases of mother-to-child transmission of HIV-1 at multiple sites in Latin America and the Caribbean in terms of missed opportunities for prevention.

methodsPregnant women infected with HIV-1 were eligible for inclusion if they were enrolled in either the NISDI Perinatal or LILAC protocols by October 20, 2009, and had delivered a live infant with known HIV-1 infection status after March 1, 2006.

resultsOf 711 eligible mothers, 10 delivered infants infected with HIV-1. The transmission rate was 1.4% (95% CI, 0.7-2.6). Timing of transmission was in utero or intrapartum (n=5), intrapartum (n=2), intrapartum or early postnatal (n=1), and unknown (n=2). Possible missed opportunities for prevention included poor control of maternal viral load during pregnancy; late initiation of antiretrovirals during pregnancy; lack of cesarean delivery before labor and before rupture of membranes; late diagnosis of HIV-1 infection; lack of intrapartum antiretrovirals; and incomplete avoidance of breastfeeding.

conclusionEarly knowledge of HIV-1 infection status (ideally before or in early pregnancy) would aid timely initiation of antiretroviral treatment and strategies designed to prevent mother-to-child transmission. Use of antiretrovirals must be appropriately monitored in terms of adherence and drug resistance. If feasible, breastfeeding should be completely avoided. Presented in part at the XIX International AIDS Conference (Washington, DC; July 22-27, 2012); abstract WEPE163.

Indexed as

HIV-1Anti-HIV AgentsAnti-Retroviral AgentsBreast FeedingCaribbean RegionCesarean SectionChild, PreschoolCohort StudiesFemaleHIV InfectionsHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalLatin AmericaPregnancyAnti-HIV AgentsAnti-Retroviral Agents

Identifiers

PMID22819316
PMCPMC4878817
OpenAlexW2047823808

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.