Tropical Doctor > Volume 38, Number 3 > Pp. 144-146

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HIV and obstetric complications and fetal outcomes in Vellore, India

Jessie Lionel MD   ^*    T K Aleyamma MD   ^*   Lilly Varghese MD   ^*   Jessica Buck    Geetha Gopalakrishnan MD      Sreekanth Chaguturu    Susan Cu-Uvin MD      Kenneth Mayer MD   

^* Department of Obstetrics and Gynaecology, Christian Medical College and Hospital, Vellore 632004, India; Miriam Hospital, Brown University, Providence, RI, USA

Correspondence to: Jessie Lionel, Department of Obstetrics and Gynaecology, Christian Medical College, Vellore 632004, India Email: jessielionel{at}cmcvellore.ac.in

Antenatal prevalence is more than 1% in parts of India, yet little is known about the complications and fetal outcomes in this region. We reviewed the records of 23,386 women who delivered at the Christian Medical College Hospital in Vellore, India from 2000 through 2002. HIV-infected women were more likely than HIV-uninfected women to have pregnancy-induced hypertension, anaemia, breech presentations, stillborn babies and fetal deaths. HIV-infected women who did not receive mother-to-child transmission prophylaxis or had breech fetal presentation were more likely to have fetal deaths (P = 0.001). HIV prophylaxis and optimal prenatal care should be a priority for HIV-infected pregnant women in resource-limited countries.

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