Prevalence of HIV infection among pregnant women in a tertiary care hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
AIM: The aim of our study is estimating the seroprevalance of HIV in pregnant women in a tertiary care hospital and assisting in prevention from mother to child transmission and to study neonatal outcome Methods: This is a retrospective study conducted in Niloufer hospital,a tertiary care hospital from 2013 to 2017. The study includes 31,071 pregnant women who attended the ante-natal clinic. Blood samples were collected after pre test counselling.Informed consent taken. Tested for HIV antibodies as per NACO guidelines .First antibody test was ELISA. If initial results were positive confirmed by two other supplementary tests. Results: Out of 31,071 pregnant women 60 were found to be HIV positive with seroprevalance rate of 0.193%. Majority of seropositive women were in the age group of 20-30 years(71.66%),16.66% were in age group of 15- 19 years.27 women out of 60 (45%) were with second pregnancy and 17 women (28.33%)were primigravida. 46 women (76.66%) were residing in urban area compared to 14 women(23.33%) who were from rural areas.50% of women were illiterates and 25% have primary education and 8.3 % have higher education. The delivery outcomes among 60 women, 52(86.66%)were having live births and 2 had intrauterine deaths before they attended the hospital, 6 (10%)women opted for MTP in first three months. Among neonatal outcome 80.77% were normal children and seropositive conversion rate was 5.75% Conclusion: The study indicates a gradual decline in seropositivity in antenatal women who were tested in five years with our study population being 31,071. Mother to child transmission of HIV infection during pregnancy, delivery or breast feeding is responsible for more than 90% paediatric AIDS. Proper antenatal counselling ,screening, interventions like antiretroviral therapy, preventive measures during pregnancy ,delivery, counselling regarding breast feeding and early neonatal care will bring down the mother to child transmission of HIV.
Authors and Affiliations
DR B RAJESWARI, DR Y INDIRAMANI
Keywords
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