Patterns of caesarean section in HIV infected and non-infected women in Malawi: is caesarean section used for PMTCT?

ABSTRACT:

Background

Caesarean section (CS) is not recommended for PMTCT in Malawi HIV Guidelines, contrary to most high-income countries where CS is indicated if viral suppression is sub-optimal pre-delivery. We describe patterns of CS in HIV-infected and uninfected women in Malawi and explored if insight into the use of Elective CS (ECS) for PMTCT could be obtained.

Methods

We used routinely collected data from individual medical records from 17 large health facilities in the central and southern regions of Malawi, from January 2010 to December 2013. We included data from maternity registers from all HIV-positive women, and randomly selected around every fourth woman with negative or unknown HIV status. We used multivariable logistic regressions and cluster-based robust standard err

SUBMITTER: Tenthani L 

PROVIDER: S-EPMC5897999 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature