État des lieux : VIH et grossesse en Provence-Alpes-Côte-d'Azur Ouest (PACA Ouest) Étude rétrospective sur dossiers dans 27 hôpitaux de la région (PACA Ouest) (2013-2014)

Abstract : Context: In France, about 1500 women suffering from human immuno-deficiency virus (HIV) give birth. The region Provence Alpes Côte d’Azur (PACA) is the second most affected by HIV in metropolitan France, after Ile de France. Objectives: Estimate the number of pregnant women suffering from HIV who gave birth between January 2013 and December 2014 in West PACA, assess the difference between the therapeutics used and their adaptation during the pregnancy of women suffering from HIV. Method: A descriptive retrospective study on files from 2013 and 2014, in 27 maternity wards of the western PACA region. All pregnant women suffering from HIV were included in the study except for stillbirth cases and medical interruptions of pregnancy. Results: In 2013, 23 cases on 38 280 births were surveyed in West PACA (0,06% of births), and 29 cases on 38 082 births in 2014 (0,08% of births). The results of this study showed a very different monitoring in terms of antiretroviral molecule, but a well adapted overall monitoring for most patients. Conclusion: The results of this study have a low level of evidence and can’t be generalized. It appears that when the patients didn’t get the anti retroviral treatment before their pregnancy, the bringing of the treatment is often delayed, while it is recommended to be started as soon as the pregnancy is discovered. Overall the monitoring coming from this study is well adapted to each patient, although it can’t be standardized given the heterogeneity of the cases.
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https://dumas.ccsd.cnrs.fr/dumas-01414414
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Submitted on : Monday, December 12, 2016 - 12:05:47 PM
Last modification on : Friday, April 19, 2019 - 1:34:54 AM
Long-term archiving on : Tuesday, March 28, 2017 - 12:34:55 AM

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  • HAL Id : dumas-01414414, version 1

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Alicia Sanchez. État des lieux : VIH et grossesse en Provence-Alpes-Côte-d'Azur Ouest (PACA Ouest) Étude rétrospective sur dossiers dans 27 hôpitaux de la région (PACA Ouest) (2013-2014). Gynécologie et obstétrique. 2016. ⟨dumas-01414414⟩

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