Grossi E, Bucceri A, Magnani M, Melidoni R, Polvani F; International Conference on AIDS.
Int Conf AIDS. 1991 Jun 16-21; 7: 192 (abstract no. W.B.2043).
I Obstetric - Gynecologic Clinic, Milan University, Italy
OBJECTIVE: From 1985 up to present 39 HIV+ pregnant women underwent a Caesarian section in the Mangiagalli Clinic of Milan University. It is wellknown that in the case of AIDS patients the postoperative is affected by an over-average morbility particularly when associated to drug addiction that increases sepsis incidence. Reporting comparison between treated and non treated Hiv seropositive Caesarian Section post-operative METHODS: Out of total 39 Caesarian sections 26 were nulliparous, 4 multiparous and 9 had had previous C. sections, 23 were drug addict, 11 had been addict in the past and 3 had drug addicted partners; as to immunodepression classes: 22 were G2, 10 were G3, and 7 were ARC. We decided to compare the performed C.S. and their post-operative course retrospectively into two groups of 10 HIV+ women, whose age, AIDS class and drug addiction level stood comparison. In the first group the patients got no therapy, in the second group they were given for 5 days Ceftriaxone 3gr.die and Calciparine subcutis 0.2 ml /3/die. RESULTS: We took as clinical markers for morbility, length of stay in hospital and average temperature in post operative course. Average stay in 1st group was 8,9 days in 2nd group was 6,1 days (p less than 0.001). Average temperature group 1: 38.3 degrees C - group 2: 37.2 degrees (p less than 0.001). The relevant chemical and clinical markers such as: total white cells count, blood platelets, fibrinogen, TP, PTT also proved to be definitely better as well as statistically remarkable in the treated group 2. CONCLUSIONS: Such results do justify the usefulness of the antibiotic and the anticoagulative therapy inte postoperative of C.S. on HIV seropositive patients.
Publication Types:
Keywords:
- AIDS-Related Complex
- Acquired Immunodeficiency Syndrome
- Cesarean Section
- Female
- HIV Infections
- HIV Seropositivity
- Humans
- Incidence
- Parity
- Pregnancy
- Pregnancy Complications
- surgery
Other ID:
UI: 102192625
From Meeting Abstracts