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Infectious Diseases in Obstetrics and Gynecology
Volume 2012, Article ID 135030, 9 pages
Research Article

Small-for-Gestational-Age Births in Pregnant Women with HIV, due to Severity of HIV Disease, Not Antiretroviral Therapy

1Division of Infectious Diseases and HIV Medicine, Drexel University College of Medicine, 1427 Vine Street, 5th Floor, Philadelphia, PA 19102, USA
2Department of Psychology, Drexel University, 245 N 15th Street, MS 515, Philadelphia, PA 19102, USA
3Department of Adolescent Medicine, Children's Hospital of Philadelphia, 3535 Market Street, Philadelphia, PA 19104, USA
4Department of Obstetrics and Gynecology, Drexel University College of Medicine, 245 N 15th Street, MS 495, Philadelphia, PA 19102, USA
5Department of Pediatrics, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104, USA

Received 20 January 2012; Revised 20 April 2012; Accepted 22 April 2012

Academic Editor: Susan Cu-Uvin

Copyright © 2012 Erika Aaron et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. To determine rate and factors associated with small-for-gestational-age (SGA) births to women with HIV. Methods. Prospective data were collected from 183 pregnant women with HIV in an urban HIV prenatal clinic, 2000–2011. An SGA birth was defined as less than the 10th or 3rd percentile of birth weight distribution based upon cut points developed using national vital record data. Bivariate analysis utilized chi-squared and t-tests, and multiple logistic regression analyses were used. Results. The prevalence of SGA was 31.2% at the 10th and 12.6% at the 3rd percentile. SGA at the 10th (OR 2.77; 95% CI, 1.28–5.97) and 3rd (OR 3.64; 95% CI, 1.12–11.76) percentiles was associated with cigarette smoking. Women with CD4 count >200 cells/mm3 at the first prenatal visit were less likely to have an SGA birth at the 3rd percentile (OR 0.29; 95% CI, 0.10–0.86). Women taking NNRTI were less likely to have an SGA infant at the 10th (OR 0.28; 95% CI, 0.10–0.75) and 3rd (OR 0.16; 95% CI, 0.03–0.91) percentiles compared to those women on PIs. Conclusions. In this cohort with high rates of SGA, severity of HIV disease, not ART, was associated with SGA births after adjusting for sociodemographic, medication, and disease severity.