Abstracts – 2008 - Obstetricia Crítica

experienced in the management of first trimester complications, should becomethe benchmark standard of care for Australian women in early pregnancy.Eur J Obstet Gynecol Reprod Biol. 2008 Feb 7 [Epub ahead of print]Acute presentation of cauda equina syndrome in the third trimester ofpregnancy.Gupta P, Gurumurthy M, Gangineni K, Anarabasu A, Keay SD.University Hospitals of Coventry and Warwickshire, Clifford Bridge Road,Coventry CV2 2DX, UK.Eur J Obstet Gynecol Reprod Biol. 2008 Feb 7 [Epub ahead of print]Current guidelines on management of HIV-infected pregnant women:Impact on mode of delivery.Suy A, Hernandez S, Thorne C, Lonca M, Lopez M, Coll O.Institut Clinic de Ginecologia, Obstetrícia i Neonatologia, Hospital Clínic,IDIBAPS, Barcelona, Spain.OBJECTIVE: To evaluate acceptance, feasibility and difficulties in the applicationof a policy of vaginal delivery in selected cases in HIV-infected women. STUDYDESIGN: HIV-infected women delivering March 2002 to December 2004 andenrolled in a prospective observational study in a University hospital tertiary carecenter were included. A vaginal delivery was not considered if labor before 36weeks of pregnancy, preterm premature rupture of membranes, on non-highlyactive antiretroviral therapy (HAART) or viral load >1000copies/mL. Mainoutcome measures were mode of delivery, prematurity, acceptance of vaginaldelivery and mother-to-child transmission of HIV infection. RESULTS: The studyincluded 91 pregnancies, with a total of 95 fetuses. Eighty percent (n=73) ofwomen knew their HIV infection status before becoming pregnant and 57 (63%)were on HAART at conception. Median gestational age at delivery was 37 weeks(range 22-41). Twelve women delivered a live-born before 36 weeks, all with acaesarean section. Among 74 women who reached 36 weeks gestation, 47(64%) met the pre-established criteria for vaginal delivery, of whom 21 (45%)delivered vaginally. The most common reason for not having a vaginal deliverywas the woman's request for a caesarean section. No cases of HIV verticaltransmission occurred (0/90, 95% CI 0-4.02%). CONCLUSION: Recommendingvaginal delivery among HIV-infected women in selected cases was wellaccepted, particularly once the policy became established. Nevertheless, a highproportion of HIV-infected women will continue to require caesarean sectiondelivery.Gynecol Obstet Invest. 2008 Feb 11;66(1):44-46 [Epub ahead of print]Gastrointestinal Symptoms and Helicobacter pylori Infection in EarlyPregnancy. A Seroepidemiologic Study.Karaer A, Ozkan O, Ozer S, Bayir B, Kilic S, Babur C, Danişman N.Dr. Zekai Tahir Burak, Woman Health Education and Research Hospital,Department of Obstetrics and Gynecology, Ankara, Turkey.