There is a growing number of infected women in Europe and an increasin
g proportion of these have acquired their infection through heterosexu
al contact. Most infected women are of childbearing age and thus incre
asing numbers of children are at risk of acquiring infection. In this
paper we examine the socio-demographic characteristics and trends in m
ode of acquisition of infection of 1690 infected women from 7 countrie
s enrolled in the European Collaborative Study, a prospective multi-ce
ntre study of children born to women known to be HIV infected at or be
fore the time of delivery. The majority of women were white, primipara
e, married or cohabiting and born in Europe. Two-thirds had a history
of injecting drug use (IDU), most commonly involving heroin. Although
patterns of transmission varied by centre, there was a relative increa
se in heterosexual transmission over the study period. A history of ne
edle-sharing among IDUs was common, but needle-sharing during pregnanc
y significantly declined between 1987 and 1994.