Prenatal care of HIV-infected women: Analysis of a large New York state cohort

B. J. Turner, L. Markson, W. Hauck, J. Cocroft, T. Fanning

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

We examined the effect of methadone treatment, duration of Medicaid enrollment during pregnancy, and other maternal characteristics on receipt of prenatal care by 2,254 women infected with human immunodeficiency virus (HIV) delivering a singleton in New York state from 1985 through 1990. Data were obtained from the New York State Medicaid HIV/AIDS Research Data Base and vital statistics records. Adequacy of the number of prenatal visits reported by the mother on vital statistics records was assessed with use of the Kessner Index, which adjusts for gestational age at delivery. Too few visits were reported by 65% of the study population. Illicit drug users had higher odds of having too few visits [1.64, 95% confidence interval (CI) 1.242.17] than methadone-treated women but the odds were similar for non-drug users and methadone-treated women (0.79, 95% CI 0.60-1.25). Women with brief Medicaid enrollment (≤25% of pregnancy) had 45% higher odds of having too few visits than did longer enrollees. Treatment for drug addiction and longer Medicaid enrollment during pregnancy may offer important interventions to increase prenatal care of HIV-infected women. Approaches to increase prenatal care of HIV-infected women are especially important given thais showing a reduction in vertical transmission from zidovudine treatment during pregnancy.

Original languageEnglish (US)
Pages (from-to)371-378
Number of pages8
JournalJournal of Acquired Immune Deficiency Syndromes and Human Retrovirology
Volume9
Issue number4
Publication statusPublished - Jan 1 1995

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Keywords

  • HIV infection
  • Medicaid
  • Pregnancy
  • Prenatal care
  • Title 19

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Virology

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