{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:41:54Z","timestamp":1696063314319},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T00:00:00Z","timestamp":1508716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD050134"],"award-info":[{"award-number":["R01HD050134"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006640","name":"Open Society Institute","doi-asserted-by":"publisher","award":["20020472\/20030878"],"award-info":[{"award-number":["20020472\/20030878"]}],"id":[{"id":"10.13039\/100006640","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the impact of cervical cell abnormalities detected in the puerperium in association with HIV\u20101 infection on pregnancy outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study was a secondary data analysis of pregnancy outcomes, Pap smear results, HIV results, and participant demography from a behavioral intervention randomized controlled trial of 1480 pregnant women aged 18\u00a0years or more conducted at a periurban primary health clinic in South Africa during 2008\u20132010. The Pap smear was performed 14\u00a0weeks after delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 564 (38.1%) women were HIV\u20101\u2010positive and 78 (8.0%) of 973 women with a categorized Pap smear result tested positive for cervical cell abnormalities; 42 (4.2%) women had low\u2010grade squamous intraepithelial lesions (LGSILs) and 7 (0.7%) had high\u2010grade lesions (HGSILs). In an adjusted analysis, HIV infection was significantly more common among women with LGSILs (28\/42 [66.7%]) or HGSILs (6\/7 [85.7%]) when compared with the other Pap smear categories (<jats:italic>P&lt;<\/jats:italic>0.001). The rates of premature birth, low birth weight, and non\u2010live births were similar among HIV\u2010infected and \u2010uninfected women with abnormal cervical cytology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pregnant women with HIV were more likely to be diagnosed with higher grades of squamous cell abnormalities than those without HIV. There was no association between squamous cell abnormalities\/HIV comorbidity and adverse pregnancy outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12330","type":"journal-article","created":{"date-parts":[[2017,9,28]],"date-time":"2017-09-28T15:51:25Z","timestamp":1506613885000},"page":"105-110","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence, risk factors, and pregnancy outcomes of cervical cell abnormalities in the puerperium in a hyperendemic HIV setting"],"prefix":"10.1002","volume":"140","author":[{"given":"Hopolang C.","family":"Maise","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhayendre","family":"Moodley","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motshedisi","family":"Sebitloane","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Maman","sequence":"additional","affiliation":[{"name":"Department of Health Behavior Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benn","family":"Sartorius","sequence":"additional","affiliation":[{"name":"Discipline of Public Health Medicine School of Nursing and Public Health College of Health Sciences University of KwaZulu\u2010Natal  Durban South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2017.1747"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djj067"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/QAD.0000000000001327","article-title":"Use of visual inspection with acetic acid, Pap smear, or high\u2010risk human papillomavirus testing in women living with HIV\/AIDS for posttreatment cervical cancer screening: Same tests, different priorities","volume":"31","author":"Omenge OE","year":"2017","journal-title":"AIDS"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/376996"},{"key":"e_1_2_8_6_1","volume-title":"Mortality and Causes of Death in South Africa: Findings From Death Notification, 2014","author":"Statistics South Africa","year":"2015"},{"key":"e_1_2_8_7_1","unstructured":"UNAIDS.2016 Core Epidemiology Slides;2016. 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