Document 2899 DOCN M94A2899 TI Effect of maternal HIV status on infant growth & survival. DT 9412 AU Boulos R; Ruff A; Coberly J; McBrien M; Halsey JD; CDS, Port-au-Prince, Haiti. SO Int Conf AIDS. 1994 Aug 7-12;10(1):20 (abstract no. 054B). Unique Identifier : AIDSLINE ICA10/94369676 AB OBJECTIVE: Although growth failure and increased mortality are common among HIV-infected infants, less is known about uninfected infants born to HIV-1 seropositive women. This study was undertaken to compare the growth and survival of breastfed infants born to HIV-1 seropositive and seronegative women. METHODS: Growth parameters were available from 137 seropositive women and 270 seronegative women and their infants enrolled and followed monthly for 18 months as part of a prospective study of breastfeeding and HIV-1. Survival data were available for 191 infants born to seropositive women and 290 infants born to seronegative women. RESULTS: At 3 months of age, HIV-1 infected infants weighed significantly less than infants born to seronegative women (5.54 vs 6.05 kg, p = 0.013) and these differences persisted through 18 months. At 18 months uninfected infants also had significantly lower weights and heights than infants born to seronegative women. The survival rate at 18 months was 41% among HIV-1 infected infants, 84% among uninfected infants born to seropositive women and 95% among infants born to seronegative women. The risk ratio of death among uninfected infants born to seropositive women was 3.20 (95% CD 1.61, 6.38) compared to infants born to seronegative women. CONCLUSIONS: Uninfected infants born to HIV-1 seropositive women exhibit poorer growth and survival than infants born to seronegative women. Additional studies to determine the etiology of these differences and to identify potential means of intervention are underway. DE Adult Body Weight Female Growth Human *HIV Seropositivity/MORTALITY *HIV-1 Infant, Newborn/*PHYSIOLOGY Odds Ratio Pregnancy *Pregnancy Complications, Infectious Prospective Studies MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).