景谷县38例感染HIV孕产妇母婴阻断效果分析

Effect analysis of prevention of mother-to-child transmission in 38 cases of maternal HIV infection in Jinggu County

目的分析景谷县预防艾滋病病毒(HIV)母婴传播措施及母婴阻断效果,为开展与推广HIV母婴阻断的预防工作提供参考。方法对2007年至2012年景谷县妇幼保健院收治的HIV阳性孕妇的病历资料进行回顾性分析。结果 38例HIV阳性孕妇,其中产前诊断HIV者30例,产时诊断者7例,产后诊断者1例。产前诊断为HIV阳性的30例孕妇中,终止妊娠11例,宫外孕1例,选择继续妊娠18例。所有成功分娩者,除1例失访外,其余25例均接受了婴幼儿喂养指导及随访。其中结案婴儿HIV抗体为阴性15例,另10例在继续接受随访。结论景谷县对HIV抗体阳性的孕产妇做好围产期保健,实施综合性干预措施,可有效降低母婴垂直传播的发生率,值得推广。

Objective To analyze the measures and the effect of prevention of HIV mother-to-child transmission in Jinggu County, so as to provide reference for the development and promotion of prevention work on HIV mother-to-child transmission. Methods The medical records of HIV positive pregnant women admitted from 2007 to 2012 in Maternal and Child Health Hospital of Jinggu County were retrospectively analyzed. Results Among 38 cases of positive HIV, 30 cases were diagnosed before delivery, 7 were diagnosed at delivery and 1 after delivery. Of the 30 cases diagnosed before delivery, 11 cases terminated pregnancy, 1 case was ectopic pregnancy, and 18 cases continued pregnancy. Except for 1 lost at follow-up, all of the other 25 cases with successful delivery accepted feeding guidance and follow-up. Among the infants accomplishing study, 15 were HIV negative and the other l0 cases continued follow-up. Conclusion Perinatal health care is provided for HIV antibody positive pregnant women and comprehensive intervention are implemented in Jinggu County, which can effectively reduce the incidence of mother-to-child vertical transmission. It is worthy of promotion.