Document 0032
 DOCN  M9590032
 TI    [HIV seropositive pregnant women from black Africa seen at the Guy de
       Lorier maternity unit of Tenon hospital. Report of 33 cases]
 DT    9509
 AU    Pambou O; Herve F; Uzan S; Dupuis ML; Salat-Baroux J; Maternite Guy Le
       Lorier, Paris.
 SO    Rev Fr Gynecol Obstet. 1995 Mar;90(3):129-33. Unique Identifier :
       AIDSLINE MED/95304250
 AB    There were 5503 deliveries between 1989 and 1991 in the Guy de Lorier
       Maternity Unit (Pr Salat-Baroux) of Tenon Hospital, Paris. These
       included 81 women testing HIV+ in the department with 33 asymptomatic
       black African women among 781 deliveries. Africans account for 14% of
       women delivered in the department but for 40% of seropositives in the
       unit, with a predilection for women from Zaire (central Africa),
       accounting for 17 seropositives. They only represent 50% of all cases of
       African HIV+ and 20% of the unit, while they account for only 6% of the
       black African community and 0.8% of the maternity unit. Women from west
       Africa accounted for 45.5% of African seropositive cases, with Ivory
       Coast in first place with 24.3% while only 9% of women from Mali,
       accounting for 40% of African patients and 5% the units, tested positive
       (3 cases out of 309 patients). The mean age of seropositive patients was
       23 +/- 4, pregnancies proceeded normally and there were 4 therapeutic
       abortions. There were 9 births by cesarean section, with no evidence of
       neonatal contamination, the same applying in the other 20 vaginal
       deliveries. Routine testing (informed consent) for HIV in these
       high-risk (endemic zone, drug addiction) or unrecognised seropositive
       patients is important whenever the opportunity presents itself
       (prenuptial examinations, prenatal visits, family planning, preoperative
       assessment) in order to attempt to lower infection rates and ensure the
       best possible care for mother and child when there is a wish to continue
       the pregnancy, but also to protect hospital staff from the risks to
       which they may be exposed.
 DE    Africa/ETHNOLOGY  English Abstract  Female  Human  HIV
       Seropositivity/*ETHNOLOGY  Negroid Race  Paris/EPIDEMIOLOGY  Pregnancy
       Pregnancy Complications, Infectious/*ETHNOLOGY  JOURNAL ARTICLE

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