Epidemiological data and pregnancy outcomes of HIV infected pregnant women in one hospital from 2015 to 2017

LIU Chun

doi:10.3969/j.issn.1007-8134.2018.03.020

Abstract：Objective To explore and analyze the epidemiological data and pregnant outcomes of pregnant women infected with HIV in our hospital from 2015 to 2017. Methods The epidemiological data of HIV infected pregnant women in our hospital from January 2015 to August 2017 were collected and the epidemiological characteristics and pregnancy outcomes were analized. Results A total of 28 447 pregnant women were screened in our hospital from January 2015 to August 2017. Among them the HIV positive rate of pregnant women in 2015 was 0.15% (15/9850), which was significantly lower than that in 2016 and 2017 (P＜0.05). Ninty-six pregnant women were infected with HIV from January 2015 to August 2017. Of them 64.58% were from 20 to 30 years, 46.88% with primary school education level and below, 41.67% with unemployment, 70.83% married, 70.83% ethnic minority, 91.67% infected via sexual contact, and 64.58% with HIV positive sexual partners. Among the HIV infected pregnant women, 61 cases (63.54%) chose to continue pregnancy and childbirth, including 4 cases (6.56%) of natural childbirth and 57 cases (93.44%) of cesarean section. There were 61 newborns without neonatal asphyxia, neonatal pneumonia or abnormalities. Among them 13 newborns (21.31%) were low birth weight infants and 5 newborns (8.20%) were infected with HIV from their mothers, who were found to be infected during labor and given postpartum medication. Conclusions The HIV infection rate is rising among pregnant women in our hospital during 2015 to 2017, and the married pregnant women at childbearing age with low educational level, low social status and low income are in high proportion, and the sexual contact is the main route of transmission. Timely standardized system of antiviral therapy for HIV pregnant women with fertility desire and postpartum artificial feeding can reduce the risk of HIV mother-to-child transmission.