Pregnancy Outcomes in HIV-Infected Women Receiving Long-Term Isoniazid Prophylaxis for Tuberculosis and Antiretroviral Therapy
Table 1
Selected characteristics of subjects experiencing pregnancy during the Isoniazid Preventive Therapy Trial, Botswana, 2005–2008 ().
No.
% or range
Characteristic ()
Age (median, range)
28
19–39
CD4+ lymphocyte count nearest LNMP (median, range) in cells/mm3
368
41–1231
CD4+ lymphocyte count near LNMP <200 cells/mm3
31
16%
Maternal BMI (median, range)
22.9
15.6–36.2
Maternal BMI <18.5 near LNMP
17
19%
Pregnancy outcome date range
Nov 26 2005 to Feb 19 2009
Antiretroviral regimen in Pregnancy
Antiretroviral therapy (≥3 drugs from ≥2 classes)
73
37%
AZT or AZT/3TC only
123
63%
Antiretroviral therapy exposure ()
Number of women on ART prior to pregnancy
47
Time on ART before pregnancy (median, range) in days*
347
21–2221
Timing of ART exposure during pregnancy
First, second, and third trimesters
45
First and second trimesters only
7
Second and third trimesters only
8
Third trimester only
8
Timing unknown
5
Isoniazid exposure ()
Time on isoniazid before pregnancy (median, range) in days
341
1–1095
Exposed to isoniazid in pregnancy
First trimester only
11
11%
First and second, trimesters only
21
20%
First, second, and third trimesters
70
68%
Second trimester only
1
1%
Any trimester (total)
103
100%
Pregnancy outcome ()
Live birth
124
63%
Stillbirth
11
6%
Spontaneous (“inevitable”) abortion
6
3%
Neonatal death
4
2%
Premature
42
21%
Term low birth weight
8
4%
Congenital abnormality
1
1%
Maternal death
0
0%
3TC: lamivudine; ART: antiretroviral therapy; AZT: zidovudine; BMI: body mass index; IPT: isoniazid preventive therapy; LNMP: last normal menstrual period.
*Among women with ART start date prior to LNMP ().