Effect of Gestational Age at Tenofovir-Emtricitabine-Efavirenz Initiation on Adverse Birth Outcomes in Botswana

J Pediatric Infect Dis Soc. 2018 Aug 17;7(3):e148-e151. doi: 10.1093/jpids/piy006.

Abstract

Among human immunodeficiency virus-positive women in Botswana on the recommended first-line antiretroviral therapy regimen, tenofovir-emtricitabine-efavirenz, initiated within the first or early second trimester, we found no increased risk of stillbirth, neonatal death, preterm/very preterm delivery, or the infant being born small or very small for gestational age. Treatment with tenofovir-emtricitabine-efavirenz <1 year before conception increased the risk of preterm delivery slightly over late-second-trimester treatment initiation (adjusted risk ratio, 1.33 [95% confidence interval, 1.04-1.70]).

MeSH terms

  • Alkynes
  • Anti-HIV Agents / administration & dosage*
  • Anti-HIV Agents / adverse effects*
  • Benzoxazines / administration & dosage
  • Benzoxazines / adverse effects
  • Botswana
  • Cyclopropanes
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Emtricitabine / administration & dosage
  • Emtricitabine / adverse effects
  • Female
  • Fetal Death
  • Gestational Age*
  • HIV Infections / drug therapy*
  • HIV Infections / transmission
  • Humans
  • Infant, Low Birth Weight
  • Infectious Disease Transmission, Vertical / prevention & control
  • Pregnancy
  • Pregnancy Complications, Infectious / drug therapy*
  • Pregnancy Outcome*
  • Premature Birth
  • Stillbirth
  • Tenofovir / administration & dosage
  • Tenofovir / adverse effects

Substances

  • Alkynes
  • Anti-HIV Agents
  • Benzoxazines
  • Cyclopropanes
  • Tenofovir
  • Emtricitabine
  • efavirenz