THE RATE OF HIV TRANSMISSION FROM MOTHER TO CHILD AND THE PROCESS OF LABOR AND DELIVERY IN HIV INFECTED PREGNANTS

We conducted the analysis of the process of labor and delivery in 577 HIV infected pregnants and the health status of their babies. Within the group of women, who delivered HIV-positive babies, the process of labor and delivery has the following specifics: premature delivery occurs 6.5 time more often, early water sac rupture (duration of ruptured membranes more than 4 hours) happened 2.8 times more often, abnormal process of labor and delivery took place. Every third newborn had acute fetal distress. 60 % of HIV infected babies had the placenta previa. 29.1 % of women who had unsafe delivery practices (e.g., episiotomy, amniotomy) delivered HIV-positive babies.