TY - JOUR
T1 - Vaginal delivery in women with HIV in Italy: results of 5 years of implementation of the national SIGO-HIV protocol
AU - Tibaldi, Cecilia
AU - Masuelli, Giulia
AU - Sansone, Matilde
AU - Tassis, Beatrice
AU - Cetin, Irene
AU - Franceschetti, Laura
AU - Spinillo, Arsenio
AU - Simonazzi, Giuliana
AU - Vimercati, Antonella
AU - Dalzero, Serena
AU - Meloni, Alessandra
AU - Bernardon, Maria
AU - Frisina, Valentina
AU - Polizzi, Cosimo
AU - Todros, Tullia
AU - Martinelli, Pasquale
AU - Floridia, Marco
AU - Ravizza, Marina
AU - Group, for SIGO-HIV Study
PY - 2019/12
Y1 - 2019/12
N2 - 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
AB - 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
KW - Delivery complications
KW - HIV
KW - Mode of delivery
KW - Pregnancy
U2 - 10.1007/s15010-019-01336-z
DO - 10.1007/s15010-019-01336-z
M3 - Article
VL - 47
SP - 981
EP - 990
JO - Infection
JF - Infection
SN - 0300-8126
IS - 6
ER -