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Decreasing incidence of pregnancy by decreasing CD4 cell count in HIV-infected women in Côte d'Ivoire: a 7-year cohort study

Loko, Marc-Arthura,b; Toure, Siakab; Dakoury-Dogbo, Nicoleb; Gabillard, Delphinea; Leroy, Valérianea; Anglaret, Xaviera

Research Letters

In a cohort study of women of childbearing age in Abidjan, Côte d'Ivoire, we followed 473 HIV-infected women for 1551 person-years, and found that the incidence of pregnancy and livebirth decreased with decreasing CD4 cell counts. This has consequences in terms of scaling-up strategies for highly active antiretroviral therapy (HAART). Women who need HAART will be less likely than those who do not to be recruited into prenatal care facilities.

aINSERM U.593, Université Victor Segalen, Bordeaux 2, Bordeaux, France

bProgramme PAC-CI, Abidjan, Côte d'Ivoire

Received 6 December, 2004

Accepted 5 January, 2005

© 2005 Lippincott Williams & Wilkins, Inc.