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HIV+ Women Have Higher Mortality Risk with Caesarean

They also have a higher risk of complications

THURSDAY, Aug. 9 (HealthDay News) -- HIV-infected women who undergo a Caesarean section are at higher risk of complications and have a higher risk of death than women without HIV, according to a report in the August issue of Obstetrics & Gynecology.

Judette Louis, M.D., from Wayne State University in Detroit, and colleagues examined whether HIV infection influenced morbidity and mortality after Caesarean section in 378 HIV-infected women and 54,281 uninfected women.

The researchers found that HIV-infected women were significantly more likely to have postpartum endometritis, need a blood transfusion postpartum, develop maternal sepsis, and undergo treatment for pneumonia. These women also had a significantly higher mortality rate (0.8 versus 0.1 percent).

"Women with HIV infection undergoing Caesarean delivery are at increased risk for perioperative morbidity and maternal mortality," Louis and colleagues conclude.

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