Publications by authors named "Marina Lumbreras Areta"
Article Synopsis
- HIV management during pregnancy in Switzerland has improved over the last 34 years, resulting in a decrease in preterm birth rates in women living with HIV, from an average of 20.4% before 2010 to 11.3% since then, although these rates are still double that of the general population (5%).
- Factors associated with preterm birth include older maternal age, lower CD4 counts, detectable viral loads in the third trimester, and the mode of delivery, while the type of antiretroviral therapy showed no significant impact.
- Key findings indicate that better viral control and the adoption of vaginal delivery for those with low viral loads at birth contributed to the decrease in preterm births among women living with HIV
Objectives To evaluate the number of late preterm (LPT) births (between 34 0/7 and 36 6/7 weeks) that could have been prevented if expectant management of preterm premature rupture of membranes (PPROM) had been applied according to new recommendations. Methods A retrospective cohort study included all births at one Swiss center between January 1, 2002 and December 31, 2012. Births were categorized using an adapted evidence-based classification.
View Article and Find Full Text PDFPertussis is a serious health issue in infants < 3 months. Too young to be vaccinated, they are at higher risk of developing pertussis and vulnerable to severe complications. Two vaccine strategies exist to prevent infant pertussis.
View Article and Find Full Text PDFBackground: Late preterm (LPT) newborns, defined as those born between 34 0/7 and 36 6/7 gestational weeks, have higher short- and long-term morbidity and mortality than term infants (≥37 weeks). A categorization to justify a non-spontaneous LPT delivery has been proposed to distinguish evidence-based from non-evidence-based criteria. This study aims to describe rates and temporal trends of non-spontaneous LPT neonates delivered according to evidence-based or non-evidence-based criteria and to evaluate the number of avoidable LPT deliveries, including severe neonatal morbidity rates and associated risk factors.
View Article and Find Full Text PDFPertussis remains a serious global health issue in infants aged less than 6 months. Neonates and young infants have the highest risk of developing pertussis as they are too young to be vaccinated and thus are more likely to develop more severe pertussis-related complications, including death. Protecting this vulnerable age population from pertussis is considered a main priority in many national health programs.
View Article and Find Full Text PDF