贝宁库夫地区妊娠和分娩期间艾滋病毒/艾滋病母婴传播及相关因素

Jean Yaovi Daho, B. Aguèmon, Pascal Hinnakou
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引用次数: 1

摘要

2016年,贝宁对母婴艾滋病毒预防计划有效性的评估报告称,全国的传播率为6.7%。该国12个地区(部门)中的库夫地区的传播率最高,为16.1%。该研究旨在确定怀孕和分娩期间的传播率以及与之相关的因素。这是一项回顾性和分析性研究,基于2016年库夫70名感染艾滋病毒的母亲所生婴儿的样本。关键研究结果显示,围产期传播率为5%,与这种传播相关的因素包括:在卫生机构进行首次产前检查的延迟、就诊频率与要求的次数和适当的时间相比较低、母亲在怀孕期间的健康状况不佳、,在怀孕期间没有或延迟开始抗逆转录病毒护理和治疗,不定期服用磺胺多辛-乙胺预防疟疾的间歇性假定治疗,分娩前对母亲进行短期抗逆转录病毒治疗(不到三个月),以及在妇女断水后不使用甜菜碱清洁母亲的生殖道。
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Mother-to-Child Transmission of HIV/AIDS during Pregnancy and Delivery and Associated Factors in the Region of Couffo in Benin
Evaluation of the effectiveness of the mother-to-child HIV Prevention Program, in Benin in 2016 reported a national rate of 6.7%. The Region of Couffo, within 12 Regions (departments) in the country, had the highest rate of transmission, which was 16.1%. The study aimed to determine transmission rate during pregnancy and delivery as well as the factors associated with it. This is a retrospective and analytical study based on a sample of seventy (70) babies born to HIV-infected mothers in 2016 in Couffo. Key findings showed, there is a perinatal transmission of five percent (5%) and the factors associated with this transmission are: delay in carrying out first antenatal visits at the health facility, low frequency of visits performed versus number requested and appropriate time, poor health condition of mothers during pregnancy, absence or late start of antiretroviral care and treatment during pregnancy, irregular intake of intermittent presumptive treatment at sulfadoxine-pyrimethamine to prevent malaria, a short antiretroviral therapy (less than three months) for mothers before delivery and the default in cleaning mother’s genital tract with betadine after the woman’s water broke.
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