HIV Infected Pregnancy in Chachoengsao Hospital - การติดเชื้อเอชไอวี ในหญิงตั้งครรภ์ของโรงพยาบาลเมืองฉะเชิงเทรา

Abstract

                 This retrospective descriptive study was aimed at studying the characteristics of HIV pregnancies and neonatal infective outcomes in Chachoengsao hospital. Medical records of HIV infected pregnancy from the labor unit during October 2002-September 2007 was scrutinized. The relevant data of the characteristics of HIV infected mothers, pregnancies and neonatal infective outcomes were collected and analyzed. There were 149 HIV infected mothers among 16,675 parturients(0.89%). The mean age was 27.24 years (range15-48 years). Most of the cases were between 21-30 years and multiparity(65.8%). It was reported that 10.8 percent of pregnant women delivered before 37 weeks. Most of them(77.2%) had normal labor, only 9.4 percent need  cesarean section. As 20 percent of these newborns weighted below 2,500 grams some(9.9%) were affected by birth asphyxia. Perinatal mortality were 3.3 percent. With antiviral regimen for both mothers and theirs neonates the overall perinatal transmission rate was 4.7 percent. In mothers  having antiviral drug the transmission rate became 3.33 percent compared to 10.34 percent  in no having antiviral drug.

                 The results are vital to up-coming strategics planning for better control of vertical transmission.

Key words: HIV - infected pregnancy, perinatal transmission