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  • Title: Medical care of pregnant women in eastern North Carolina with human immunodeficiency virus.
    Author: Pokharel S, Rimawi RH, Siraj D.
    Journal: South Med J; 2013 Mar; 106(3):196-200. PubMed ID: 23462486.
    Abstract:
    OBJECTIVES: To assess the time lag between the diagnosis of human immunodeficiency virus (HIV) and the initiation of antiretroviral therapy (ART) in pregnant women. METHODS: A retrospective chart review of 105 deliveries from HIV-positive women from January 2001 to June 2009 was undertaken. RESULTS: One hundred five HIV-infected pregnant women were identified and studied. Forty-eight women were diagnosed during the prenatal visit: 21 in the first trimester, 17 in the second trimester, and 10 in the third trimester. Forty-five had undetectable viral loads at delivery. The time lag between diagnosis of HIV and initiation of ART was 1 month for 31% and 3 months for 28.5%. CONCLUSIONS: The time lag between diagnosis of HIV and initiation of ART was more than 1 month in 69% of the expectant mothers, which may have contributed to the failure in viral suppression. Implementation of HIV screening and a more effective means of communication between prenatal and HIV clinics are required to help reduce vertical transmission of the virus to neonates.
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