During their second pregnancy with diagnosed HIV (n = 1177), two-fifths of women in the UK/Ireland not on antiretroviral therapy (ART) at conception had an immunological indication for treatment (CD4+ <350 cells/μl), of whom nearly half had CD4+ at least 350 cells/μl in their previous pregnancy. Those initiating ART during pregnancy had a 4.3-fold increased odds of detectable viral load at delivery compared with those conceiving on treatment, suggesting that continuation of ART after pregnancy may be beneficial for many women.
aPopulation, Policy and Practice Programme, UCL Institute of Child Health, University College London, UK
bSchool of Health Sciences, City University London, UK.
Correspondence to Clare E. French, BSc, MSc, Population, Policy and Practice Programme, UCL Institute of Child Health, 30 Guilford St, London WC1N 1EH, UK. E-mail: firstname.lastname@example.org
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Received February 6, 2014
Accepted March 11, 2014