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[Correspondence] Hidden in plain sight: HIV, antiretrovirals, and stillbirths

We read with interest The Lancet Series on stillbirths, and The Lancet Global Health report highlighting increased stillbirths in 55 countries since 2000, and goals for future stillbirth reduction.1,2 We would like to add a missing component to the discussion: the HIV pandemic. Both maternal HIV infection and the use of three-drug antiretroviral treatment (ART) might be associated with increased risk of stillbirth. Nearly a million African women who are infected with HIV now receive ART during pregnancy, as compared with almost no three-drug ART use in pregnancy in the year 2000.

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