Clinical Findings of Infants Born to an HIV-Positive Mother: A Hospital Based Case-Control Study in Tehran, Iran

Najafi, Nahid; Amini, Elahe; Daneshjou, Khadije; Pesarakli, Hossein; Akbari, Mahnaz

doi:10.22038/ijp.2019.40474.3422

Clinical Findings of Infants Born to an HIV-Positive Mother: A Hospital Based Case-Control Study in Tehran, Iran

Authors

Nahid Najafi ¹

Elahe Amini ²

Khadije Daneshjou ³

Hossein Pesarakli ⁴

Mahnaz Akbari ⁵

¹ Valiasr Hospital, Tehran University of Medical Sciences, Tehran, Iran.

² NICU Division, Valiasr Hospital, Tehran University of Medical Sciences, Tehran, Iran.

³ Department of Pediatrics, School of Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

⁴ Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

⁵ Department of Pediatrics, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.

10.22038/ijp.2019.40474.3422

Abstract

Background
There are contradictory results regarding association between maternal HIV infection and neonatal adverse outcomes. Therefore, in this study the neonates born from HIV-positive mothers compared with HIV-negative mothers were assessed in Tehran, Iran.
Materials and Methods
This retrospective case-control study was conducted on 50 infants born to an HIV-positive mother compared with 53 infants born to an HIV-negative mother as control group, during 8 years of a period from 2006-2015, admitted in Valiasr Hospital of Tehran. Data were gathered from medical records of patients.
Results
All children (n=53, 100%) in the case group were born through cesarean section; while 20.75% of the control group children were born by natural delivery (P=0.001). There was statistically significant difference between neonates born from HIV-positive mothers compared to HIV-negative mothers with respect to delivery method and gender (P<0.05). The mean weights (gr) were higher in the controls than the cases (3052.830±380.71 vs. 2731.80±575.90) (P=0.001). Also, a significantly increased Hemoglobin was observed in the controls (15.87±1.97 g/dL) compared to the cases (13.42±1.69 g/dL) (P=0.001). Liver functions test (LFTs)was significantly higher in case groups (P=0.005).
Conclusion
Based on the results,the mean weight and hemoglobin were lower in infants born from HIV-positive women compared with HIV-negative women. Also, LFT Disorder was higher in infants born from HIV-positive women compared with HIV-negative women.

Keywords

AIDS

Infant

HIV

Mother