{"id":10546,"date":"2010-06-01T16:50:51","date_gmt":"2010-06-01T16:50:51","guid":{"rendered":"http:\/\/i-base.info\/htb\/?p=10546"},"modified":"2010-06-01T16:50:51","modified_gmt":"2010-06-01T16:50:51","slug":"significant-rates-of-unplanned-pregnancies-among-young-women-born-with-hiv","status":"publish","type":"post","link":"https:\/\/i-base.info\/htb\/10546","title":{"rendered":"Significant rates of unplanned pregnancies among young women born with HIV"},"content":{"rendered":"<p><strong>Winnie Sseruma, HIV i-Base<\/strong><\/p>\n<p>There is little research and information reported on young women growing up with HIV. But a study at the meeting showed some interesting data on the pregnancy outcomes of young women who were born with HIV 10\u009620 years ago. The study looked at a cohort of 172 women, born with HIV and accessing services in 19 centres across the UK and Ireland.<\/p>\n<p>Overall, there were 36 pregnancies reported in 27 women, with a median age of 18 years at first pregnancy. Of these, 27 (75%) were unplanned, 7 (19%) were planned and 2 were unknown. The women all conceived before September 2009. Seventeen women were on HAART, with a median CD4 count of 244 cells\/mm3, but 8 out of the10 women who were not on treatment had CD4 counts below 200 cells\/mm3.<\/p>\n<p>Of the reported pregnancies, 86% (31\/36) were with regular partners, of whom 22 (61%) reported being unaware of their partners HIV status. The pregnancies resulted in 5 (14%) 1st trimester miscarriages, 9 (25%) elective terminations, 18 (50%) live births and 4 (11%) pregnancies were ongoing.<\/p>\n<p>At the time of delivery, 89% of the mothers were on HAART, with a median CD4 count of 254 cells\/mm3 and a median viral load of 79 copies\/mL (range &lt;50\u0096580,000). Seven women delivered with viral load &lt;50 copies\/mL, four had VL &gt;1,000 copies\/mL. Two women were admitted for Directly Observed Therapy and two were non-adherent to HAART at delivery. Mode of delivery was 9 elective and 5 emergency C-sections with 4 vaginal deliveries. 6 (33%) infants delivered at &lt;37\/40, five of whom required Neonatal Intensive Care. None of the babies were infected and there were no congenital anomalies were reported. Five of the babies were fostered and 3 have ongoing concerns.<\/p>\n<p>The study showed without a doubt, that prevention of mother to child transmission worked, even though some mothers had advanced HIV and were not well adherent. Additionally, the study also highlighted a worrying high number of unplanned pregnancies, a population with social needs despite access to contraceptive services.<\/p>\n<p>Ref: Williams B et al.\u00a0 Pregnancy outcomes in women growing up with HIV acquired perinatally or in early childhood. 2nd Joint Conference of BHIVA with BASHH, 20\u009623 April 2010, Manchester. Poster abstract P144.<\/p>\n<p><a href=\"http:\/\/www.aegis.org\/conferences\/BHIVA\/2010\/16BHIVA-2010.pdf\">http:\/\/www.aegis.org\/conferences\/BHIVA\/2010\/16BHIVA-2010.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Winnie Sseruma, HIV i-Base There is little research and information reported on young women growing up with HIV. But a study at the meeting showed some interesting data on the pregnancy outcomes of young women who were born with HIV &hellip;<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,35,32],"tags":[56],"class_list":["post-10546","post","type-post","status-publish","format-standard","hentry","category-conference-reports","category-pmtct-and-maternal-health","category-paediatric-care","tag-bhiva-bashh-2nd-2010"],"_links":{"self":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts\/10546","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/comments?post=10546"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts\/10546\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/media?parent=10546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/categories?post=10546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/tags?post=10546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}