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Pregnancy among HIV-infected refugees in Rhode Island.

机译：罗德岛艾滋病毒感染难民的怀孕情况。

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In 1999, immigration laws lifted previous barriers, allowing more HIV-infected refugees entrance to the US. Many of these refugees are women of reproductive age. At our center in Providence, RI, a significant number of HIV-infected refugees have become pregnant since resettling in the US. We describe the pregnancies seen among these predominantly West African HIV-infected refugees. A retrospective chart review was conducted on all HIV-infected female refugees who established care from 2000-2006. Descriptive statistics were used to describe the population at this site. We found that between 2000 and 2006, 28 HIV-infected female refugees established care. Liberia was the country of origin of 79% (22) of the women. There were 20 pregnancies among 14 women between 2000-2006. The median time from resettlement in the US to first pregnancy was 16 (<1-69) months. The median age at time of first pregnancy was 29 years (19-39). At time of pregnancy, the median CD4 count was 506 cells/mL and the median plasma viral load (PVL) was 3.36 log10 copies/ml. There were nine deliveries, one current pregnancy and one loss to follow-up. Other pregnancy outcomes included five terminations and three spontaneous abortions. All women received antiretroviral therapy during their pregnancy. At the time of delivery the median PVL was <1.88 log. There was one HIV transmission from mother to child. Two women became pregnant while on efavirenz, which was subsequently discontinued. One of the women delivered a normal term infant; the other relocated and transferred her care. Among this cohort of HIV-infected refugees, there is a high rate of pregnancy, highlighting the need for timely initiation of medical care, including comprehensive preconception counseling, upon resettlement in the US. It is important to gain a better understanding of this unique and growing population in order to provide the best possible care for these women.
机译：1999年，移民法解除了先前的壁垒，允许更多受HIV感染的难民进入美国。这些难民中有许多是育龄妇女。自从我们在美国定居以来，在我们位于罗德岛普罗维登斯的中心，大量感染了艾滋病毒的难民已经怀孕。我们描述了在这些主要是西非艾滋病毒感染难民中看到的怀孕情况。回顾性图表审查了所有在2000年至2006年间建立了照护的艾滋病毒感染女性难民。描述性统计数据用于描述该站点的人口。我们发现，在2000年至2006年之间，有28位感染HIV的女性难民建立了照料机构。利比里亚是79％（22）妇女的原籍国。 2000年至2006年之间，在14名妇女中有20例怀孕。从美国重新安置到第一次怀孕的平均时间为16（<1-69）个月。首次怀孕时的中位年龄为29岁（19-39岁）。在怀孕时，中位数CD4计数为506细胞/毫升，中位数血浆病毒载量（PVL）为3.36 log10拷贝/毫升。有9例分娩，1例目前怀孕，1例失访。其他妊娠结局包括5次终止妊娠和3次自然流产。所有妇女在怀孕期间均接受抗逆转录病毒疗法。交付时，中位PVL ＜1.88 log。艾滋病毒是从母亲传给孩子的。两名妇女在依法韦仑治疗期间怀孕，随后停产。其中一名妇女分娩了正常足月婴儿。另一人搬迁并转移了她的照料。在这批感染艾滋病毒的难民中，怀孕率很高，这突出说明了在美国重新安置后需要及时开始医疗服务，包括全面的孕前咨询服务。重要的是要更好地了解这一独特且不断增长的人口，以便为这些妇女提供最佳的护理。

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