Journal article
Complications of cesarean deliveries among HIV-infected women in the United States
AIDS (London), Vol.28(17), pp.2609-2618
11/13/2014
DOI: 10.1097/QAD.0000000000000474
PMCID: PMC4509679
PMID: 25574961
Abstract
Objective: To compare rates of complications associated with cesarean delivery in HIV-infected and HIV-uninfected women in the United States and to investigate trends in such complications across four study cycles spanning the implementation of HAART in the United States (1995-1996, 2000-2001, 2005-2006, 2010-2011).
Design: The Nationwide Inpatient Sample from the Healthcare Cost and Utilization Project is the largest all-payer hospital inpatient care database in the United States; when weighted to account for the complex sampling design, nationally representative estimates are derived. After restricting the study sample to women aged 15-49 years, our study sample consisted of approximately 1 090 000 cesarean delivery hospitalizations annually.
Methods: Complications associated with cesarean deliveries were categorized as infection, hemorrhage, or surgical trauma, based on groups of specific International Classification of Diseases 9th revision codes. Length of hospitalization, hospital charges, and in-hospital deaths were also examined.
Results: The rate of complications significantly decreased during the study periods for HIV-infected and HIV-uninfected women. However, rates of infectious complications and surgical trauma associated with cesarean deliveries remained higher among HIV-infected, compared with HIV-uninfected women in 2010-2011, as did prolonged hospital stay and in-hospital deaths. Length of hospitalization decreased over time for cesarean deliveries of HIV-infected women to a greater extent compared with HIV-uninfected women.
Conclusion: In the United States, rates of cesarean delivery complications decreased from 1995 to 2011. However, rates of infection, surgical trauma, hospital deaths, and prolonged hospitalization are still higher among HIV-infected women. Clinicians should remain alert to this persistently increased risk of cesarean delivery complications among HIV-infected women. (c) 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Details
- Title: Subtitle
- Complications of cesarean deliveries among HIV-infected women in the United States
- Creators
- Athena P. Kourtis - Centers for Disease Control and PreventionSascha Ellington - Centers for Disease Control and PreventionKaren Pazol - Centers for Disease Control and PreventionLisa Flowers - National Center for Chronic Disease Prevention and Health PromotionLisa Haddad - National Center for Chronic Disease Prevention and Health PromotionDenise J. Jamieson - National Center for Chronic Disease Prevention and Health Promotion
- Resource Type
- Journal article
- Publication Details
- AIDS (London), Vol.28(17), pp.2609-2618
- DOI
- 10.1097/QAD.0000000000000474
- PMID
- 25574961
- PMCID
- PMC4509679
- NLM abbreviation
- AIDS
- ISSN
- 0269-9370
- eISSN
- 1473-5571
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Grant note
- CC999999 / Intramural CDC HHS
- Language
- English
- Date published
- 11/13/2014
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446263402771
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