舟山市艾滋病母婴传播阻断综合干预效果评价

An analysis on the effect of comprehensive intervention of HIV/AIDS PMTCT among pregnant women living with HIV in Zhoushan Islands

目的评价舟山市艾滋病母婴传播阻断综合干预效果,为开展艾滋病母婴传播阻断提供依据。方法对2013—2015年舟山市已经实施艾滋病母婴传播阻断的23例HIV阳性孕产妇资料进行回顾性分析。结果经艾滋病母婴传播阻断综合干预后,23例孕产妇中有8例(34.78%)在知情同意后选择终止妊娠,15例(65.22%)选择继续妊娠,并均接受孕期预防性抗病毒阻断用药,用药率为100.00%(15/15);15例妊娠妇女共活产婴儿17人,婴儿预防性抗病毒用药率为76.47%(13/17),婴儿人工喂养率为88.24%(15/17);婴儿18月龄时均未检出HIV感染。结论艾滋病母婴传播阻断综合干预措施能有效降低HIV母婴传播风险。

Objective To evaluate the effect of HIV / AIDS Prevention of Mother to Child Transmission（ PMTCT） among pregnant women living with HIV / AIDS in Zhoushan Islands and to provide basis for local PMTCT measures. Methods We retrospectively analyzed 23 cases of HIV antibody positive pregnant women who were treated with PMTCT during 2013-2015. Results Eight of the 23 cases decided to terminate the pregnancy while other 15 cases of pregnant decided to continue pregnancy,and preventive antiviral block drug therapy during pregnancy or before delivery was performed among15 cases of pregnant,with the rate 100%（ 15 /15）. The rate of neonatal preventive antiviral block drug therapy was76. 47%（ 13 /17）. Neonates who were not breast fed was 88. 24%（ 15 /17）. The HIV positive rate among children was 0（ 0 /17） when they were detected at 18 month after birth. Conclusion PMTCT could effectively decrease the risk of mother- to- child transmission of HIV / AIDS.