Increased peri- and post-elective cesarean section morbidity in women infected with human immunodeficiency virus-1: a case-controlled multicenter study.


OBJECTIVE:Although elective cesarean section (ECS) is the currently recommended modality for delivering women infected with the human immunodeficiency virus (HIV), historical evidence suggests that they are at higher risk of postoperative complications than noninfected women. Those risks have to be carefully balanced against the presumed minimal benefit of ECS, especially in the case of low viral load and high CD4 counts. We therefore compared the incidence and type of post-ECS complications in HIV-infected women, most with low viral loads and high CD4 cell counts, with those in matched noninfected women treated by the same surgical teams. STUDY DESIGN:A Swiss 8-center, prospective, matched case-control study compared minor and major post-ECS complication prevalence, hospital stay and confounding factors (surgeon experience) between HIV-infected and noninfected women. RESULTS:Minor complications in the 53 matched pairs were eightfold more frequent overall in infected women. More frequent specific minor complications were anemia, blood loss and urinary tract infection. Yet the surgeons performing ECS in infected women were more experienced. Complications prolonged hospital stay in infected women. Major complication rates did not significantly differ between the groups. CONCLUSION:HIV-positive women have a higher risk of post-ECS morbidity, even with high CD4 counts and low viral load. Therefore, the blanket recommendation of ECS in HIV-infected women requires a review.


Arch Gynecol Obstet


Lapaire O,Irion O,Koch-Holch A,Holzgreve W,Rudin C,Hoesli I,Swiss Mother and Child HIV Cohort Study.




Has Abstract


2006-06-01 00:00:00












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    abstract:OBJECTIVE:Our objective was to establish reference values for ductus venosus flow velocities during ventricular systole (S wave) and diastole (D wave), the lowest forward velocity during atrial contraction (A wave) and different calculated indices [(S-A)/D), (S-A)/Vmean, (S-A)/S, S/A, S/D)]. METHODS:Ductus venosus flo...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Axt-Fliedner R,Diler S,Georg T,Friedrich M,Diedrich K

    更新日期:2004-03-01 00:00:00

  • Oxidative stress and ATPase6 mutation is associated with primary ovarian insufficiency.

    abstract:PURPOSE:Primary ovarian insufficiency (POI) is a heterogeneous, multifactorial disorder. Though genetic anomalies, infections, autoimmune disorder and hormonal imbalance are few of the causes of POI, in the majority of patients (50-60%) no etiology has been identified. Mitochondrial bioenergetics and biogenesis play an...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Venkatesh S,Kumar M,Sharma A,Kriplani A,Ammini AC,Talwar P,Agarwal A,Dada R

    更新日期:2010-09-01 00:00:00

  • Uterine primitive neuroectodermal tumor: a case report.

    abstract:BACKGROUND:Primitive neuroectodermal tumors of uterus (PNET) are extremely rare in tumors of the female genital system and therefore there is no sufficient information about their diagnosis, treatment, and follow-up. CASE:The case is a 32-year-old, operated in emergency conditions due to intra-abdominal hemorrhage, an...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Celik H,Gurates B,Karaoğlu A,Yavuz A,Dagli F,Ozercan R

    更新日期:2009-02-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

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    journal_title:Archives of gynecology and obstetrics

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    authors: Selo-Ojeme DO,Okonkwo CA,Atuanya C,Ndukwu K

    更新日期:2016-11-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Perabò M,Fink V,Günthner-Biller M,von Bodungen V,Friese K,Dian D

    更新日期:2014-06-01 00:00:00

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    pub_type: 杂志文章


    authors: Mekaru K,Yagi C,Asato K,Masamoto H,Sakumoto K,Aoki Y

    更新日期:2011-12-01 00:00:00

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    abstract::We obtained blood samples from 52 patients with pre-eclampsia and from 40 pregnant controls for measurement of plasma urate levels, hematocrit, white cell count and various hemorheological parameters. We also used impedance cardiography to measure cardiac output in both groups and from the results derived values for t...

    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审


    authors: Heilmann L,Siekmann U

    更新日期:1989-01-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Carneiro C,Hurtubis C,Singh M,Robinson W

    更新日期:2009-06-01 00:00:00

  • The relation between amniotic fluid surfactant concentration in preterm labour and histological evidence of chorioamnionitis.

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Higuchi M,Hirano H,Gotoh K,Otomo K,Maki M

    更新日期:1992-01-01 00:00:00

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    pub_type: 杂志文章,评审


    authors: Boesch CE,Pronk RF,Medved F,Hentschel P,Schaller HE,Umek W

    更新日期:2017-06-01 00:00:00

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    pub_type: 杂志文章


    authors: Han F,Xu L,Huang Y,Chen T,Zhou T,Yang L

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,评审


    authors: Rotas M,Khulpateea N,Binder D

    更新日期:2007-12-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Uyar İ,Kurt S,Demirtaş Ö,Gurbuz T,Aldemir OS,Keser B,Tasyurt A

    更新日期:2015-06-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Lapresta Moros M,Conte Martín P,Pérez Pérez P,Azúa Romeo J,Oro Fraile J,Lapresta Ferrández C

    更新日期:2003-10-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章,随机对照试验


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    更新日期:2016-02-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Arslan A,Kanat-Pektas M,Yesilyurt H,Bilge U

    更新日期:2009-03-01 00:00:00

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    authors: Banz-Jansen C,Münchow B,Diedrich K,Finas D

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Geyikoglu F,Koc K,Erol HS,Colak S,Ayer H,Jama S,Eser G,Dortbudak MB,Saglam YS

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    pub_type: 杂志文章


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    journal_title:Archives of gynecology and obstetrics

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    authors: Kanaoka Y,Hirai K,Ishiko O

    更新日期:2003-11-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Akutagawa O,Nishi H,Isaka K

    更新日期:2007-04-01 00:00:00

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


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    更新日期:2019-02-01 00:00:00

  • Expression and localization of CXCL16 and CXCR6 in ovarian endometriotic tissues.

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Manabe S,Iwase A,Goto M,Kobayashi H,Takikawa S,Nagatomo Y,Nakahara T,Bayasula,Nakamura T,Hirokawa W,Kikkawa F

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  • Hypoxia-induced regulation of placental REDD1 and mTOR was impaired in a rat model of estrogen-induced cholestasis.

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    journal_title:Archives of gynecology and obstetrics

    pub_type: 杂志文章


    authors: Zhou F,Chen H,Wang X,Yu P,Hu Y

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    authors: Gul A,Ugur M,Iskender C,Zulfikaroglu E,Ozaksit G

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