Vaginal delivery in women with HIV in Italy: results of 5 years of implementation of the national SIGO-HIV protocol

Cecilia Tibaldi, Giulia Masuelli, Matilde Sansone, Beatrice Tassis, Irene Cetin, Laura Franceschetti, Arsenio Spinillo, Giuliana Simonazzi, Antonella Vimercati, Serena Dalzero, Alessandra Meloni, Maria Bernardon, Valentina Frisina, Cosimo Polizzi, Tullia Todros, Pasquale Martinelli, Marco Floridia, Marina Ravizza, for SIGO-HIV Study Group

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE: To evaluate the maternal and neonatal safety of vaginal delivery in women with HIV following the implementation of a national protocol in Italy. METHODS: Vaginal delivery was offered to all eligible women who presented antenatally at twelve participating clinical sites. Data collection and definition of outcomes followed the procedures of the National Program on Surveillance on Antiretroviral Treatment in Pregnancy. Pregnancy outcomes were compared according to the mode of delivery, classified as vaginal, elective cesarean (ECS) and non-elective cesarean section (NECS). RESULTS: Among 580 women who delivered between January 2012 and September 2017, 142 (24.5%) had a vaginal delivery, 323 (55.7%) had an ECS and 115 (19.8%) had an NECS. The proportion of vaginal deliveries increased significantly over time, from 18.9% in 2012 to 35.3% in 2017 (p 
Original languageEnglish
Pages (from-to)981-990
Number of pages10
JournalInfection
Volume47
Issue number6
DOIs
Publication statusPublished - Dec 2019

Keywords

  • Delivery complications
  • HIV
  • Mode of delivery
  • Pregnancy

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