Research Article
Prenatal Ultrasound Screening for Fetal Anomalies and Outcomes in High-Risk Pregnancies due to Maternal HIV Infection: A Retrospective Study
Table 1
Maternal and neonatal characteristics.
| Characteristics | Value (total pregnancies , total newborns ) |
| Maternal age at delivery (±SD) | 31.05 ± 5.7 |
| Gravidity | | 1 | 89 (27.3%) | 2 | 104 (31.9%) | 3 | 71 (21.8%) | 4 | 38 (11.7%) | ≥5 | 24 (7.2%) |
| Parity | | 1 | 162 (49.7%) | 2 | 108 (33.1%) | 3 | 36 (11%) | 4 | 12 (3.7%) | ≥5 | 8 (2.4%) |
| Duration of pregnancy (weeks of gestation) | | 24 + 0–33 + 6 | 32 (9.6%) | 34 + 0–36 + 6 | 90 (26.9%) | >37 + 0 | 212 (63.5%) |
| Ethnicity | | Caucasian | 95 (33.6%) | African | 188 (66.4%) |
| HIV diagnosis during pregnancy | | Yes | 79 (24.2%) | No | 243 (75.8%) |
| Mode of delivery | | Planned caesarean section | 257 (77.4%) | Caesarean section in labor | 30 (9%) | Emergency caesarean section | 1 (0.3%) | Caesarean section after trial of vaginal birth | 13 (3.9%) | Spontaneous vaginal delivery | 29 (8.7%) | Unplanned vaginal delivery | 1 (0.3%) | Operative vag delivery (e.g., forceps) | 1 (0.3%) |
| CD4 count at delivery (cells/μL) | | <200 | 30 (10.5%) | 200–349 | 76 (27%) | ≥350 | 175 (62.5%) |
| Viral load at delivery (copies/mL) | | <50 | 168 (55.8%) | 50–399 | 88 (29.2%) | ≥400 | 45 (15%) |
| HAART before the beginning of pregnancy | | Yes | 181 (62.6%) | No | 108 (37.4%) |
| HCV (positive anti-HCV test) | | Yes | 25 (8.9%) | Negative | 255 (91.1%) |
| 5-min APGAR | | <4 | 0 | <7 | 5 (1.5%) | 7–10 | 325 (98.5%) |
| Arterial cord pH | | <7.0 | 0 | 7.0-<7.1 | 2 (0.6%) | 7.1-<7.2 | 16 (4.9%) | ≥7.2 | 309 (94.5%) |
| Base excess (±SD) |
|
| Weight (g) (±SD) |
|
| Percentile | | <10th | 30 (9%) | 10–90 | 291 (86.8%) | >90th | 14 (4.2%) |
| Early anomaly scan (11 + 0–14 + 0 weeks of gestation) | 30.5% |
| Nuchal translucency | 20.3% |
| Anomaly/detailed scan 20–22 weeks of gestation | 74.5% |
| Anomaly scan any time later in pregnancy | 5.5% |
| Fetal/neonatal anomalies in total | 4.5% |
| MTCT in total | 0.9% |
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MTCT: mother-to-child transmission; SD: standard deviation.
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