The Impact of HIV on Maternal Morbidity in the Pre-HAART Era in Uganda

Objective. To compare maternal morbidity in HIV-infected and uninfected pregnant women. Methods. Major maternal morbidity (severe febrile illness, illnesses requiring hospital admissions, surgical revisions, or illnesses resulting in death) was measured prospectively in a cohort of HIV-infected and...

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Main Authors: Harriet Nuwagaba-Biribonwoha, Richard T. Mayon-White, Pius Okong, Peter Brocklehurst, Lucy M. Carpenter
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Pregnancy
Online Access:http://dx.doi.org/10.1155/2012/508657
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author Harriet Nuwagaba-Biribonwoha
Richard T. Mayon-White
Pius Okong
Peter Brocklehurst
Lucy M. Carpenter
author_facet Harriet Nuwagaba-Biribonwoha
Richard T. Mayon-White
Pius Okong
Peter Brocklehurst
Lucy M. Carpenter
author_sort Harriet Nuwagaba-Biribonwoha
collection DOAJ
description Objective. To compare maternal morbidity in HIV-infected and uninfected pregnant women. Methods. Major maternal morbidity (severe febrile illness, illnesses requiring hospital admissions, surgical revisions, or illnesses resulting in death) was measured prospectively in a cohort of HIV-infected and uninfected women followed from 36 weeks of pregnancy to 6 weeks after delivery. Odds ratios of major morbidity and associated factors were examined using logistic regression. Results. Major morbidity was observed in 46/129 (36%) and 104/390 (27%) of the HIV-infected and HIV-uninfected women, respectively, who remained in followup. In the multivariable analysis, major morbidity was independently associated with HIV infection, adjusted odds ratio (AOR) 1.7 (1.1 to 2.7), nulliparity (AOR 2.0 (1.3 to 3.0)), and lack of, or minimal, formal education (AOR 2.1 (1.1 to 3.8)). Conclusions. HIV was associated with a 70% increase in the odds of major maternal morbidity in these Ugandan mothers.
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spelling doaj-art-1be8da1fb566400aaf0c42add24f96942025-08-20T03:54:51ZengWileyJournal of Pregnancy2090-27272090-27352012-01-01201210.1155/2012/508657508657The Impact of HIV on Maternal Morbidity in the Pre-HAART Era in UgandaHarriet Nuwagaba-Biribonwoha0Richard T. Mayon-White1Pius Okong2Peter Brocklehurst3Lucy M. Carpenter4ICAP, Mailman School of Public Health, Columbia University, P.O. Box 3567, Kampala, UgandaDepartment of Primary Health Care, University of Oxford, Oxford, OX1 2-ET, UKSt. Raphael of St. Francis Hospital, Nsambya, Kampala, UgandaInstitute for Women's Health, University College London, London, WC1E AU, UKDepartment of Public Health, University of Oxford, Oxford, OX3 7LF, UKObjective. To compare maternal morbidity in HIV-infected and uninfected pregnant women. Methods. Major maternal morbidity (severe febrile illness, illnesses requiring hospital admissions, surgical revisions, or illnesses resulting in death) was measured prospectively in a cohort of HIV-infected and uninfected women followed from 36 weeks of pregnancy to 6 weeks after delivery. Odds ratios of major morbidity and associated factors were examined using logistic regression. Results. Major morbidity was observed in 46/129 (36%) and 104/390 (27%) of the HIV-infected and HIV-uninfected women, respectively, who remained in followup. In the multivariable analysis, major morbidity was independently associated with HIV infection, adjusted odds ratio (AOR) 1.7 (1.1 to 2.7), nulliparity (AOR 2.0 (1.3 to 3.0)), and lack of, or minimal, formal education (AOR 2.1 (1.1 to 3.8)). Conclusions. HIV was associated with a 70% increase in the odds of major maternal morbidity in these Ugandan mothers.http://dx.doi.org/10.1155/2012/508657
spellingShingle Harriet Nuwagaba-Biribonwoha
Richard T. Mayon-White
Pius Okong
Peter Brocklehurst
Lucy M. Carpenter
The Impact of HIV on Maternal Morbidity in the Pre-HAART Era in Uganda
Journal of Pregnancy
title The Impact of HIV on Maternal Morbidity in the Pre-HAART Era in Uganda
title_full The Impact of HIV on Maternal Morbidity in the Pre-HAART Era in Uganda
title_fullStr The Impact of HIV on Maternal Morbidity in the Pre-HAART Era in Uganda
title_full_unstemmed The Impact of HIV on Maternal Morbidity in the Pre-HAART Era in Uganda
title_short The Impact of HIV on Maternal Morbidity in the Pre-HAART Era in Uganda
title_sort impact of hiv on maternal morbidity in the pre haart era in uganda
url http://dx.doi.org/10.1155/2012/508657
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