The HIV infection in pregnant women in French Guiana

The aim of this study is to analyse the characteristics of HIV pregnant women in French Guiana then to evaluate the HIV mother to child transmission rate (MTCT) and determine the pronostic factors associated with MTCT. An epidemiological study has been led including all deliveries in French Guiana f...

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Bibliographic Details
Published in:Gynécologie, obstétrique & fertilité obstétrique & fertilité, 2003-04, Vol.31 (4), p.343-349
Main Authors: Sobesky, M, Zoccarato, A M, Magnien, C, Rocca Serra, P, Bissuel, F, Karaoui, L, Carles, G, Delattre, P
Format: Article
Language:fre
Subjects:
Anti-HIV Agents - therapeutic use
Female
French Guiana - epidemiology
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV Infections - transmission
Humans
Infectious Disease Transmission, Vertical - prevention & control
Pregnancy
Pregnancy Complications, Infectious - virology
Prognosis
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Summary:The aim of this study is to analyse the characteristics of HIV pregnant women in French Guiana then to evaluate the HIV mother to child transmission rate (MTCT) and determine the pronostic factors associated with MTCT. An epidemiological study has been led including all deliveries in French Guiana from January 1998 to December 2000. For each case a standardized questionnaire has been gathered including epidemiological, clinical and biological data and an univariate analysis has been realized. A hundred and forty-eight women have been included in the study among 135 women came for delivery. The factors associated with increased MTCT in our study were no antiretroviral therapy before delivery, the lack of follow-up during pregnancy and no antiretroviral therapy in children. The HIV mother to child transmission rate was 6,5% despite the availability of antiretroviral therapies. This rate may be explained by the difficulties of follow-up in HIV infected women. Much more needs to be done to improve access to care for women coming from foreign countries. This may be indispensable to reduce the HIV mother to child transmission rate in French Guiana.
ISSN:1297-9589