Ahmet İNKAYA
(Hacettepe Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)
Gökçen ÖRGÜL
(Hacettepe Üniversitesi, Tıp Fakültesi, Perinatoloji Bilim Dalı, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Nurhayat HALİS
(Hacettepe Üniversitesi, Tıp Fakültesi, Perinatoloji Bilim Dalı, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Şehnaz ALP
(Hacettepe Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)
Ateş KARA
(Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Enfeksiyon Hastalıkları Anabilim Dalı, Ankara, Türkiye)
ÖZGÜR ÖZYÜNCÜ
(Hacettepe Üniversitesi, Tıp Fakültesi, Perinatoloji Bilim Dalı, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Murat YURDAKÖK
(Hacettepe Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Ankara, Türkiye)
Serhat ÜNAL
(Hacettepe Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)
Mehmet Sinan BEKSAÇ
(Hacettepe Üniversitesi, Tıp Fakültesi, Perinatoloji Bilim Dalı, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Yıl: 2020Cilt: 21Sayı: 3ISSN: 1309-0399 / 1309-0380Sayfa Aralığı: 180 - 186İngilizce

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Perinatal outcomes of twenty-five human immunodeficiency virus-infected pregnant women: Hacettepe University experience
Objective: To evaluate perinatal outcomes in human immunodeficiency virus (HIV) infected pregnant women in Turkey.Material and Methods: Maternal characteristics, pregnancy complications, laboratory findings including HIV load, CD4 cell count, CD4/CD8ratio, neonatal features and final HIV status of the baby were retrospectively analyzed.Results: The sample included 26 singleton pregnancies, from 25 HIV-infected women. The ethnicities were Turkish (n=18), East European(n=4), Asian (n=2) and African (n=2). The majority (76.9%) was aware of their HIV status before becoming pregnant. Four cases (15.3%) werediagnosed during pregnancy and two (7.8%) at the onset of labor. The results for median HIV viral load, CD4 count, and CD4/CD8 ratio at birthwere 20 copies/mL (0-34 587), 577/mm3 (115-977), and 0.7 (0.1-1.9), respectively. The HIV viral load rate was 5.5% in eighteen women takinganti-retroviral treatment. The rates of gestational diabetes mellitus, gestational hypertension, intrauterine growth restriction, and preterm deliverywere 3.8%, 3.8%, 7.6%, and 8% (numbers are 1;1;2;2), respectively. The mean gestational week at birth was 38 weeks and mean birthweight is2972±329 g. Two babies were congenitally infected with HIV (infection rate of 8.3%). There was one needle-related accident during surgery.Conclusion: Timely diagnosis of HIV infection during pregnancy is important for preventing mother to child transmission. HIV infected womenmay give birth to HIV negative babies with the help of a multidisciplinary team, composed of perinatology, infectious diseases, and pediatricsspecialists. (J Turk Ger Gynecol Assoc 2020; 21: 180-6)
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