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.

CharacteristicsValue
(total pregnancies , total newborns )

Maternal age at delivery (±SD)31.05 ± 5.7

Gravidity
 189 (27.3%)
 2104 (31.9%)
 371 (21.8%)
 438 (11.7%)
 ≥524 (7.2%)

Parity
 1162 (49.7%)
 2108 (33.1%)
 336 (11%)
 412 (3.7%)
 ≥58 (2.4%)

Duration of pregnancy (weeks of gestation)
 24 + 0–33 + 632 (9.6%)
 34 + 0–36 + 690 (26.9%)
 >37 + 0212 (63.5%)

Ethnicity
 Caucasian95 (33.6%)
 African188 (66.4%)

HIV diagnosis during pregnancy
 Yes79 (24.2%)
 No243 (75.8%)

Mode of delivery
 Planned caesarean section257 (77.4%)
 Caesarean section in labor30 (9%)
 Emergency caesarean section1 (0.3%)
 Caesarean section after trial of
 vaginal birth
13 (3.9%)
 Spontaneous vaginal delivery29 (8.7%)
 Unplanned vaginal delivery1 (0.3%)
 Operative vag delivery
  (e.g., forceps)
1 (0.3%)

CD4 count at delivery (cells/μL)
 <20030 (10.5%)
 200–34976 (27%)
 ≥350175 (62.5%)

Viral load at delivery (copies/mL)
 <50168 (55.8%)
 50–39988 (29.2%)
 ≥40045 (15%)

HAART before the beginning of pregnancy
 Yes181 (62.6%)
 No108 (37.4%)

HCV (positive anti-HCV test)
 Yes25 (8.9%)
 Negative255 (91.1%)

5-min APGAR
 <40
 <75 (1.5%)
 7–10325 (98.5%)

Arterial cord pH
 <7.00
 7.0-<7.12 (0.6%)
 7.1-<7.216 (4.9%)
 ≥7.2309 (94.5%)

Base excess (±SD)   

Weight (g) (±SD)   

Percentile
 <10th30 (9%)
 10–90291 (86.8%)
 >90th14 (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%

MTCT: mother-to-child transmission; SD: standard deviation.