不同风险等级艾滋病病毒感染育龄妇女生育意愿和孕情检测评价

Evaluation on detection of fertility desire and pregnancy status in women of childbearing age with different risk levels of HIV infection

目的评价不同风险等级艾滋病病毒(HIV)感染育龄妇女生育意愿、孕情检测现状,完善干预措施,降低母婴传播风险。方法对2021年德阳市管理的HIV感染育龄妇女按高、中、低、未知风险分组,回顾性分析生育意愿、孕情检测情况。结果548例HIV感染育龄妇女中,高风险11.68%、中风险1.28%、低风险72.45%、未知风险14.60%。90.62%高风险、99.75%低风险、100.00%中风险和100.00%未知风险感染育龄妇女生育意愿清晰,差异有统计学意义(P<0.05)。67.19%高风险、57.14%中风险、51.64%低风险、43.75%未知风险感染育龄妇女,2021年至少出现1次相邻两季度人绒毛膜促性腺激素检测间隔>12^(+6)周,差异有统计学意义(χ^(2)=8.16,P<0.05)。结论绝大多数HIV感染育龄妇女无生育意愿,应加强避孕宣传;少数有生育意愿,主要分布在高、低风险感染育龄妇女中,应加强生育指导,避免意外妊娠。HIV感染育龄妇女有孕情晚发现风险,尤其是高、中风险等级,建议增加孕情检测频次,降低孕情晚发现风险和母婴传播风险。

Objective To evaluate the current situation of fertility desire and pregnancy detection of human immunodeficiency virus(HIV)-infected women of childbearing age with different risk levels,improve the intervention measures,and reduce the risk of mother-to-child transmission of HIV.Methods HIV-infected women of childbearing age in 2021 managed by Deyang were divided into high-risk,medium-risk,low-risk and unknown risk groups,and the fertility desire and data of pregnancy detection were analyzed retrospectively.Results Among the 548 HIVinfected women of childbearing age,11.68%were at high risk,1.28%at medium risk,72.45%at low risk and 14.60%at unknown risk.90.62%of high-risk,99.75%of low-risk,100.00%of moderate-risk and unknown risk HIV-infected women of childbearing age had clear fertility intention,the difference was statistically significant(P<0.05).67.19%of high-risk,57.14%of medium-risk,51.64%of low-risk and 43.75%of unknown risk HIV-infected women of childbearing age had at least one human chorionic gonadotropin test interval>12^(+6) weeks in two adjacent quarters in 2021,the difference was statistically significant(χ^(2)=8.16,P<0.05).Conclusion The vast majority of HIV-infected women of childbearing age have no desire to have children,and contraceptive propaganda should be added.A small number of HIV-infected women of childbearing age have the desire to have children,they are distributed in high-risk and low-risk.Targeted reproductive guidance should be strengthened to avoid accidental pregnancy.There is a risk of late detection of pregnancy for HIV-infected women of childbearing age,especially for high-risk and medium-risk.It is recommended to increase the frequency of pregnancy testing to reduce the risk of late detection of pregnancy and the risk of mother-to-child transmission of AIDS.