ArticleThe Australian & New Zealand journal of obstetrics & gynaecology2026
Obstetric Management and Outcomes for Women Living With HIV in Western Australia: A 30 Year Review.
Article in The Australian & New Zealand journal of obstetrics & gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 1991 a statewide service for the management of pregnant women living with HIV (WLHIV) was established in Western Australia (WA).
aimsTo review the maternal epidemiology and obstetric and neonatal outcomes for pregnancies in WLHIV under the care of this multidisciplinary management team since its inception.
methodsAll ongoing pregnancies for WLHIV between 1991 and December 2022 were identified from interrogation of the state-wide multidisciplinary perinatal HIV management database. WLHIV with early pregnancy losses or who delivered outside of WA were excluded.
resultsTwo hundred and thirty four viable pregnancies to 162 WLHIV occurred. Maternal ethnicity altered significantly; the rate of new cases of pregnancies in WLHIV for African and Southeast Asian women being 3.92 times (95% CI 1.22-12.60, p = 0.022) and 4.41 times higher (95% CI 1.37-14.25, p = 0.013) from 2007 to 2022, respectively, from those in 1998 to 2006. A significant decrease in HIV-exposed pregnancies occurred among Indigenous Australian women during these time periods (IRR 0.15, 95% CI 0.05 to 0.44, p = 0.001). Over time there was a significant reduction in the proportion of women with a detectable viral load at booking. Prior to 2007, 31 cases (72.1%) had a detectable viral load at booking compared with 68 (38.9%) from 2007 onwards (p < 0.001). Overall, an undetectable viral load at delivery was recorded for 88.3% (197/223). The vertical HIV transmission rate was very low, with one case (0.4%) reported. Most women formula fed their babies (94.5%).
conclusionsA state-wide multi-disciplinary service, combined with universal antenatal HIV screening, has been successful in preventing HIV MTCT in WA.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.