Research Article

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)2819–39
 CD4+ lymphocyte count nearest LNMP (median, range) in cells/mm336841–1231
 CD4+ lymphocyte count near LNMP <200 cells/mm33116%
 Maternal BMI (median, range)22.915.6–36.2
 Maternal BMI <18.5 near LNMP1719%
 Pregnancy outcome date rangeNov 26 2005 to Feb 19 2009
 Antiretroviral regimen in Pregnancy
  Antiretroviral therapy (≥3 drugs from ≥2 classes)7337%
  AZT or AZT/3TC only12363%

Antiretroviral therapy exposure ( )
 Number of women on ART prior to pregnancy47
 Time on ART before pregnancy (median, range) in days*34721–2221
 Timing of ART exposure during pregnancy
  First, second, and third trimesters45
  First and second trimesters only7
  Second and third trimesters only8
  Third trimester only8
  Timing unknown5

Isoniazid exposure ( )
 Time on isoniazid before pregnancy (median, range) in days3411–1095
 Exposed to isoniazid in pregnancy
  First trimester only1111%
  First and second, trimesters only2120%
  First, second, and third trimesters7068%
  Second trimester only11%
  Any trimester (total)103100%

Pregnancy outcome ( )
 Live birth12463%
 Stillbirth116%
 Spontaneous (“inevitable”) abortion63%
 Neonatal death42%
 Premature4221%
 Term low birth weight84%
 Congenital abnormality11%
 Maternal death00%

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 ( ).