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Outcome of pregnancy among HIV infected women in a tertiary care centre, Hubli, Karnataka, India

Background: Human Immunodeficiency virus (HIV) infection in pregnancy has become the most common medical complication of pregnancy in some countries. Reports have shown that HIV infection during pregnancy can have adverse effects on both the mother and the infant. As of 2007, 90% of HIV infected children got the virus through MTCT. Hence, this study was planned to assess the outcome of pregnancy among HIV infected women. Methodology: A case series study was carried out on all HIV positive pregnant women on ART who delivered in KIMS hospital, Hubli during the six months of study period. Results: Of the total 25 HIV positive women, 16 (64%)were primi-gravida and 6 (24%) had obstetric history of G2P1L1A0. Seventeen (68%) women had full time normal vaginal delivery, 3 (12%) had a preterm and 3 (12%) delivered by emergency LSCS. Pregnancy outcome showed that 19 (76%) delivered a full term baby, 3 (12%) preterm baby, 1 (4%) had a stillbirth, 1 (4%) encountered intra uterine death of foetus and 1 (4%) underwent medical termination of pregnancy. Conclusion: Majority of HIV infected pregnant women delivered full term normal vaginal delivery of near normal birth weight without any birth defects. It indicates that antiretroviral therapy of pregnant HIV infected women is beneficial and should be emphasized.