Impact of human immunodeficiency virus, malaria, and tuberculosis on adverse pregnancy outcomes in the United States

Objective To compare rates of adverse pregnancy outcomes for HIV, tuberculosis, and malaria-infected patients in the United States with those of uninfected patients. Study design A nationally representative sample of 24,149,664 singleton live births were identified using pregnancy hospitalizations t...

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Bibliographic Details
Published in:Journal of perinatology 2020-02, Vol.40 (2), p.240-247
Main Authors: Ahmadzia, Homa K., Khorrami, Najma, Carter, Jené A., Stone, Juliana, Amdur, Richard L.
Format: Article
Language:English
Subjects:
692/308/409
692/699/255/1715
692/699/255/1856
692/699/255/1901
Adult
Cesarean section
Cesarean Section - statistics & numerical data
Female
Fetuses
HIV
HIV (Viruses)
HIV Infections - complications
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Incidence
Malaria
Malaria - complications
Malaria - epidemiology
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Pregnancy
Pregnancy Complications
Pregnancy Complications, Infectious - epidemiology
Pregnancy Outcome
Pregnant women
Retrospective Studies
Tuberculosis
Tuberculosis - complications
Tuberculosis - epidemiology
United States
Vector-borne diseases
Viruses
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Summary:Objective To compare rates of adverse pregnancy outcomes for HIV, tuberculosis, and malaria-infected patients in the United States with those of uninfected patients. Study design A nationally representative sample of 24,149,664 singleton live births were identified using pregnancy hospitalizations that resulted in delivery between 1998–2000 and 2009–2011 in this retrospective cohort study. Maternal and fetal outcomes were evaluated. Results There were 7204 HIV cases, 1450 TB cases, and 296 malaria cases over the two time periods, and the average age of infected subjects was 28.3. The HIV group was more likely to have almost all adverse pregnancy outcomes than the control group in both time periods. The 2009–2011 HIV group was more likely to undergo cesarean delivery than the 1998–2000 HIV group [1959 versus 1649, p  
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-019-0512-9