Control de embarazo y postparto en mujeres infectadas por HIV

摘要

Pregnancy and postpartum control in HIV infected womenWe present data from a retrospective observational descriptive study with the objective of evaluating characteristics of HIV-infected pregnant women,analyze the level of control of pregnancy and assess adherence to treatment and loss of follow up after delivery. We analyzed reported data of 104pregnancies, 32.7% of them under 25 years old. The diagnosis was performed as part of pregnancy control in 36.5% of women. TARV started before 24weeks of pregnancy in 70% of them and a regimen with 2 nucleos(t)ides and 1 ritonavir potenciated protease inhibitor (PIr) was prescribed in 84.5%.Elective c-section was the most frequent mode of delivery. The viral load after 32 weeks of pregnancy was available in 82.7%, being less than 1000cop/ml in 78 (75%), less than 200 cop/ml in 70 (67.3%) and not available in 18 (17.3%) of cases. We observed a considered high rate of adherencefailure and loss of follow up after delivery. Reported data should alert programs on the need to implement strategies to promote early pregnancy controland increase adherence and retention in care, especially in the postpartum period.