ArticlePloS one2018
Most women living with HIV can deliver vaginally-National data from Finland 1993-2013.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis.Reproductive health · 2021Pooled it
- Perinatal HIV in Europe: Clinical Advances and Psychosocial Challenges-A Scoping Review.Tropical medicine and infectious disease · 2026Review
- Finnish HIV Quality of Care Register (FINHIV).BMJ open · 2022Article
- Prevention of Perinatal HIV Transmission in an Area of High HIV Prevalence in the United States.The Journal of pediatrics · 2021Article
- Anti-retroviral therapy failure in HIV-1 infected pregnant women and its associated risk of HIV transmission.Archives of gynecology and obstetrics · 2020Observational
- Perinatal outcomes of twenty-five human immunodeficiency virus-infected pregnant women: Hacettepe University experienceJournal of the Turkish German Gynecological Association · 2020Article
- Article
- The experience of pregnancy among women living with HIV in Nordic countries: A qualitative narrative enquiry.Women's health (London, England)Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVaginal delivery has been recommended for more than ten years for women living with HIV (WLWH) with good virological control. However, in Europe most WLWH still deliver by cesarean section (CS). Our aim was to assess the rate of vaginal delivery and the indications for CS in WLWH over 20 years in a setting of low overall CS rate. MATERIALS AND
methodsThis was a retrospective study of all WLWH delivering in Finland 1993-2013. We identified the women by combining national health registers and extracted data from patient files.
resultsThe study comprised 212 women with 290 deliveries. Over 35% of the women delivered several children during the study years. During 2000-2013, with consistent viral load monitoring, 80.0% showed HIV viral loads <50 copies/mL in the last measurement preceding the delivery. Altogether 74.5% of all WLWH delivered vaginally and the rate of both elective CS and emergency CS was 12.8% each. For most CSs (63.5%) the indication was obstetrical, for 28.4% it was avoiding HIV transmission and for 0.7% it was mother's request. In hospitals with less than ten HIV-related deliveries during the study period, the rate of elective CS was higher than in more experienced hospitals (22.7% versus 10.6% [p = 0.024]). No perinatal HIV transmissions occurred.
conclusionsMost WLWH can achieve good virological control and deliver vaginally. This will help them to maintain their future child bearing potential and reduce CS-related morbidity.
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