MATERNAL LOSSES AMONG HIV-INFECTED WOMEN IN THE RUSSIAN FEDERATION

Objective. To study maternal losses among HIV-positive women. Material and methods. A retrospective continuous clinicostatistical analysis of 33 fatal outcomes was made in HIV-infected mothers in the country in the period 2006 to 2010, by examining the records of maternal deaths and the explanatory notes of the principal obstetricians-gynecologist of the subjects of the Russian Federation (RF). Results. The proportion of active reproductive-age (25—29-year-old) mothers among deceased HIV-infected women (39.4%) was more than twice greater than that in the population of maternal losses in the country (18.5%). The structure of extragenital diseases among the causes of maternal death because of HIV infection varied with the population: more than half of these women were those with drug addiction and in the stage of AIDS, as well as those with cardiovascular diseases in the population. The proportion of premature labor (at 28 weeks) constituted a vast majority (80%) in the study group of HIV-infected women and 21.7% in the population of deceased HIV-negative mothers. The mortality rate among the HIV-infected women of the country was 75.0 per 100000 live births, which was more than thrice higher than those in the general Russian population of deceased mothers (21.2 per 100000 live births). Conclusion. The maternal mortality rate among the HIV-infected women of the RF in 2006—2010 was 75.0 per 100000 live births, which was more than thrice greater than that in the general Russian population. The main cause of death in HIV-infected mothers is drug abuse and AIDS progression.

maternal death, maternal losses, HIV infection