Objectives: to evaluate mother-to-child transmission (MTCT) rates and related factors in HIV-infected pregnant\r\nwomen from a tertiary hospital between 2000 and 2009.\r\nSubjects and method: cohort of 452 HIV-infected pregnant women and their newborns. Data was collected from\r\nrecorded files and undiagnosed children were enrolled for investigation. Statistical analysis: qui-square test, Fisher\r\nexact test, Student t test, Mann-Whitney test, ANOVA, risk ratio and confidence intervals.\r\nResults: MTCT occurred in 3.74%. The study population displayed a mean age of 27 years; 86.5% were found to\r\nhave acquired HIV through sexual contact; 55% were aware of the diagnosis prior to the pregnancy; 62% were not\r\nusing HAART. Mean CD4 cell-count was 474 cells/ml and 70.3% had undetectable viral loads in the third trimester.\r\nHAART included nevirapine in 35% of cases and protease inhibitors in 55%; Zidovudine monotherapy was used in\r\n7.3%. Mean gestational age at delivery was 37.2 weeks and in 92% by caesarian section; 97.2% received intravenous\r\nzidovudine. Use of AZT to newborn occurred in 100% of them. Factors identified as associated to MTCT were: low\r\nCD4 cell counts, elevated viral loads, maternal AIDS, shorter periods receiving HAART, other conditions (anemia,\r\nIUGR (intra uterine growth restriction), oligohydramnium), coinfecctions (CMV and toxoplasmosis) and the\r\noccurrence of labor. Use of HAART for longer periods, caesarian and oral zidovudine for the newborns were\r\nassociated with a decreased risk. Poor adhesion to treatment was present in 13 of the 15 cases of transmission; in\r\n7, coinfecctions were diagnosed (CMV and toxoplasmosis).\r\nConclusion: Use of HAART and caesarian delivery are protective factors for mother-to-child transmission of HIV.\r\nMaternal coinfecctions and other conditions were risk factors for MTCT.
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