The Danish HIV Birth Cohort (DHBC) - a nationwide, prospective cohort.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
08 07 2021
Historique:
entrez: 10 7 2021
pubmed: 11 7 2021
medline: 5 8 2021
Statut: epublish

Résumé

The purpose of the Danish HIV Birth Cohort (DHBC) is to investigate the significance of HIV-1 infection in pregnancy and after delivery in women living with HIV (WLWH) in Denmark and their children, in the era of antiretroviral therapy and other interventions for treatment and prophylaxis. All WLWH giving birth to one or more children in Denmark after 31 December 1999 are included, with consecutive ongoing enrolment, if they are living with HIV and pregnant, or if they are diagnosed with HIV in relation to pregnancy, delivery or shortly after delivery. DHBC has been used to describe trends in the management of pregnancies in WLWH and their outcomes on a nationwide basis, mode of delivery and predictors of emergency caesarean section as well as risk factors during pregnancy in WLWH for birth-related complications compared with women from the general population (WGP). We have found that HIV-exposed, but uninfected (HEU) children born to WLWH had a lower median birth weight and gestational age and were at higher risk of intrauterine growth retardation than children born to WGP. We have investigated risk of in-hospital admission and use of antibiotics during the first 4 years of life among HEU children and showed that HEU children had an increased risk of overall hospital admission compared with a matched control group of unexposed children.Further, we compared anthropometric outcomes in children with a matched control group of children not exposed to HIV. To continuously investigate the significance of HIV infection and antiretroviral therapy in pregnancy and after delivery in WLWH in Denmark and their HEU children and compare these findings with children born to WGP.

Identifiants

pubmed: 34244252
pii: bmjopen-2020-044565
doi: 10.1136/bmjopen-2020-044565
pmc: PMC8268920
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e044565

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Nina Weis (N)

Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark nina.weis@regionh.dk.
Department of Clinical Medicine, Copenhagen University, Copenhagen, Denmark.

Terese L Katzenstein (TL)

Department of Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Mathilde Ørbæk (M)

Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark.

Merete Storgaard (M)

Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.

Gitte Pedersen (G)

Department of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark.

Isik S Johansen (IS)

Department of Infectious Diseases, Odense Universitetshospital, Odense, Denmark.

Ellen Moseholm (E)

Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Denmark.

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Classifications MeSH