Meta-Analysis: The Effect of HIV/AIDS in Pregnant Women Against the Incidence of Low Birth Weight and Preterm Birth
Abstract
Pregnancy poses a major challenge to immune system regulation. Immune function is suppressed in both HIV-infected and non-HIV-infected women. Transmission of the virus has also been reported to occur between mothers to fetuses. So that HIV infection can reduce the quality of pregnancy outcomes such as low birth weight babies (low birth weight) and premature birth (preterm) The purpose of this meta-analysis is to estimate the strength of the effect of HIV infection on the incidence of low birth weight babies and preterm delivery. This study is a systematic review and meta-analysis. Primary data is retrieved through the electronic databases PubMed, Science Direct, Web of Science, Springer Link and Cochrane Database. search keywords "HIV AND AIDS", "HIV AND pregnancy", "HIV AND pregnancy AND adjusted odds ratio", and "HIV AND Pregnancy AND adjusted odds ratio". Articles taken between 2013-2023. Statistical analysis was performed using the RevMan 5.3 application. 6 articles qualified quantitatively for analysis. women who have HIV infection during pregnancy can increase the risk of giving birth to babies with low birth weight 3.32 times and statistically significant Odds Ratio (OR 3.32; 95% CI: 2.24 – 4.93; p value < 0.001). Results also reported women who have HIV infection during pregnancy were 4.79 times more likely to giving before the due date (premature) than women who were not infected with HIV during pregnancy and had a statistically significant odds ratio (OR 4.79; 95% CI: 2.50 – 9.19; p value 0.008). HIV infection in pregnancy can increase the risk of low birth weight babies and premature birth
References
Savira, M., 2017. Imunologi Human Immunodeficiency Virus (HIV) dalam Kehamilan. Jurnal Ilmu Kedokteran, 8(1), pp. 1-10.
Kala, S. e. a., 2020. Periconceptional exposure to lopinavir, but not darunavir, impairs decidualization: A potential mechanism leading to poor birth outcomes in HIV-positive pregnancies. Human Reproduction, 35(8), p. 1781–1796.
Malaba, T. e. a., 2021. Cohort profile: Prematurity Immunology in Mothers living with HIV and their infants Study (PIMS). BMJ Open, 11(9).
Moher, D. e. a., 2015. Preferred reporting items for systematic review and meta-analysis protocols ( PRISMA-P ) 2015 statement. pp. 1-9.
Rough, K. S. I. G. R. W. P. L. H.-D. S. H. Y. C. E. G. .. &. P. K., 2018. Birth outcomes for pregnant women with HIV using tenofovir–Emtricitabine. New England Journal of Medicine, 378(17), pp. 1593-1603.
Ajibola, G. L. J. M. G. K. v. W. E. M. T. P. C. .. &. L. S., 2018. HIV exposure and formula feeding predict under-2 mortality in HIV-uninfected children, Botswana. The Journal of pediatrics, Volume 203, pp. 68-75.
Cambrea, S. C. D. E. P. L. C. M. C. M. G. C. P. L. .. &. D. F., 2023. Fetal Growth Restriction and Clinical Parameters of Newborns from HIV-Infected Romanian Women. Medicina, 59(1), p. 111.
Li, H. L. J. T. D. H. G. Z. J. X. J. .. &. Z. G., 2020. Maternal HIV infection and risk of adverse pregnancy outcomes in Hunan province, China: a prospective cohort study. Medicine, 99(8).
Tukei, V. J. M. R. G. M. M. T. A. M. M. I. A. .. &. G. L., 2020. 24‐Month HIV‐free survival among HIV‐exposed Infants in Lesotho: the PEAWIL cohort study. Journal of the International AIDS Society, 23(12), p. e25648.
VENKATESH, K. K. F. M. F. T. M. D. S. N. A. I. K. N. C. .. &. B. H. C., 2019. Association between HIV antiretroviral therapy and preterm birth based on antenatal ultrasound gestational age determination: a comparative analysis. AIDS (London, England), 33(15), p. 2403.
Zash, R. e. a., 2016. Reassuring birth outcomes with tenofovir/emtricitabine/efavirenz used for prevention of mother-to-child transmission of HIV in Botswana. In Journal of Acquired Immune Deficiency Syndromes, p. 428–436.
Romlah, S. P. R. &. H. I., 2020. Human Immunodeficiency Virus (Hiv) pada Bayi Baru Lahir Ditinjau dari Berbagai Literatur. Edu Dharma Journal: Jurnal penelitian dan pengabdian masyarakat, 4(2), p. 78.


