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Hospitalization Trends in Pregnant HIV-Infected Women
Am J Obstet Gynecol; ePub 2016 Jun 2; Ewing, et al
There was no increase in the number of hospitalizations during pregnancy for HIV-infected women since 2004, although these hospitalizations remain more medically complex than those of uninfected women. This according to a study that compared rates of hospitalizations and associated outcomes among HIV-infected and uninfected pregnant women in the US from 2004 to 2001. Researchers found:
• In 2011, there were 4,751 estimated pregnancy hospitalizations and 3,855 delivery hospitalizations for HIV-infected pregnant women; neither had increases since 2004.
• Pregnancy hospitalizations of HIV-infected women were more likely to be longer, in the South and Northeast, covered by public insurance, and to incur higher changes, when compared with those of HIV-uninfected women.
• Hospitalizations among pregnant women who were HIV-infected had higher rates for many adverse outcomes.
• Compared to 2004, hospitalizations of HIV-infected pregnant women in 2011 had higher odds of gestational diabetes, preeclampsia/hypertensive disorders of pregnancy, viral/mycotic/parasitic infections, and bacterial infections.
Citation: Ewing AC, Datwani HM, Flowers LM, Ellington SR, Jamieson DJ, Kourtis. Trends in the hospitalizations of pregnant HIV-infected women in the USA: 2004-2011. [Published online ahead of print June 2, 2016]. Am J Obstet Gynecol. doi:http://dx.doi.org/10.1016/j.ajog.2016.05.048.