Table 1. Large Observational Cohort Studies of Combination Antiretroviral
Regimens on Risk for Mother-to-Child Transmission of HIV Infectiona
| Study, Year (Reference) |
Location |
Interventions |
Mother–Infant Pairs Enrolled, n |
Mother-to-Child Transmission Rate,
% |
Cesarean Section Rate, % |
Breastfeeding Rate, % |
Internal Validity Rating |
| Italian
Register for HIV Infection in Children, 200288 |
Italy |
No antiretroviral agents |
2440 |
18.5 |
97.7
overall, 69.9 elective |
2.8
overall |
Good |
| ZDV alone |
743 |
6.1 |
| >2 antiretroviral agents |
248 |
1.6 |
| Women and
Infants' Transmission Study, 200282 |
US |
No
antiretroviral agents |
396 |
20.0 |
20.1 |
No infant
was breastfed |
Good |
| ZDV alone |
710 |
10.4 |
24.0 |
| 2
antiretroviral agents |
186 |
3.8 |
33.8 |
| HAART |
250 |
1.2 |
44.4b |
| European
Collaborative Study, 200589 |
Europe |
No
antiretroviral agents |
157 |
11.5 |
16
emergency, 61 elective overall |
2 overall
(through 2000) |
Good |
| HAART |
918 |
1.2 |
| French Perinatal Study, 200190 |
France |
ZDV alone (historical control group) |
858 |
6.8 |
16 elective |
0.3 |
Fair
(used historical controls) |
| Lamivudine + ZDV from 32nd wk of pregnancy
and to the child for 6 wk |
437 |
1.6 |
22
elective |
0.5 |
aHAART = highly active
antiretroviral therapy; ZDV = zidovudine.
b.p=0.0001.
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