Lionel Jessie, Aleyamma T K, Varghese Lilly, Buck Jessica, Gopalakrishnan Geetha, Chaguturu Sreekanth, Cu-Uvin Susan, Mayer Kenneth
Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, India.
Trop Doct. 2008 Jul;38(3):144-6. doi: 10.1258/td.2007.070081.
Antenatal prevalence is more than 1% in parts of India, yet little is known about the complications and fetal outcomes in this region. We reviewed the records of 23,386 women who delivered at the Christian Medical College Hospital in Vellore, India from 2000 through 2002. HIV-infected women were more likely than HIV-uninfected women to have pregnancy-induced hypertension, anaemia, breech presentations, stillborn babies and fetal deaths. HIV-infected women who did not receive mother-to-child transmission prophylaxis or had breech fetal presentation were more likely to have fetal deaths (P = 0.001). HIV prophylaxis and optimal prenatal care should be a priority for HIV-infected pregnant women in resource-limited countries.
在印度部分地区，产前患病率超过1%，但关于该地区的并发症和胎儿结局却知之甚少。我们回顾了2000年至2002年在印度韦洛尔基督教医学院医院分娩的23386名妇女的记录。感染艾滋病毒的妇女比未感染艾滋病毒的妇女更易患妊娠高血压、贫血、臀位、死产和胎儿死亡。未接受母婴传播预防措施或胎儿为臀位的感染艾滋病毒妇女更易出现胎儿死亡（P = 0.001）。在资源有限的国家，对感染艾滋病毒的孕妇而言，艾滋病毒预防和最佳产前护理应成为优先事项。
