Etukumana E A, Thacher T D, Sagay A S
Department of Family Medicine, University of Uyo, Uyo, Nigeria.
Niger Med J. 2011 Jan;52(1):24-27.
Obstetrics risk and practices can lead to the spread of HIV/AIDS. Identification of such obstetrics risk of HIV infection is a useful step in the prevention of transmission of the virus. OBJECTIVE: We sought to determine obstetrics risk of HIV infection in pregnant women attending antenatal clinic in a rural Northern Nigerian hospital. METHODS: We conducted a cross-sectional descriptive study of pregnant women attending antenatal clinic of a rural mission hospital in northern Nigeria between June and October 2005. Data were collected using structured questionnaire. HIV screening and confirmation was carried out on pregnant women after voluntary counseling. RESULTS: 350 pregnant women were enrolled with a mean age (±SD) of 26.8± 6.4years. The highest number of HIV infected women was observed in those who had their first coitus between 16 and 20 years. The age at first coitus was not significantly related to the HIV infection (P=0.41). Neither parity (P=0.13) nor past history of abortion (P=0.42) was associated with HIV infection. None of the 41 women who had their last delivery at home had HIV infection compared with 9.8% of the 194 women who delivered in the hospital or clinic (P=0.008). Forty percent of those who had their last delivery in primary health centre had HIV infection while 22.2% of those who delivered under the care of traditional birth had HIV infection. CONCLUSION: Obstetrics practices may encourage transmission of HIV infection. This calls for re-examination of the obstetrics practices especially in our primary health centers in order to prevent transmission of HIV infection.
产科风险与做法可能导致艾滋病毒/艾滋病的传播。识别此类艾滋病毒感染的产科风险是预防病毒传播的有益步骤。目的：我们试图确定在尼日利亚北部一家农村医院产前门诊就诊的孕妇中艾滋病毒感染的产科风险。方法：我们对2005年6月至10月期间在尼日利亚北部一家农村教会医院产前门诊就诊的孕妇进行了横断面描述性研究。使用结构化问卷收集数据。在自愿咨询后对孕妇进行艾滋病毒筛查和确认。结果：350名孕妇入组，平均年龄（±标准差）为26.8±6.4岁。首次性交在16至20岁之间的女性中观察到的艾滋病毒感染女性数量最多。首次性交年龄与艾滋病毒感染无显著相关性（P = 0.41）。产次（P = 0.13）和既往流产史（P = 0.42）均与艾滋病毒感染无关。在家中最后分娩的41名女性中无一例感染艾滋病毒，而在医院或诊所分娩的194名女性中有9.8%感染艾滋病毒（P = 0.008）。在初级卫生中心最后分娩的女性中有40%感染艾滋病毒，而在传统接生护理下分娩的女性中有22.2%感染艾滋病毒。结论：产科做法可能会促使艾滋病毒感染的传播。这就要求重新审视产科做法，尤其是在我们的初级卫生中心，以预防艾滋病毒感染的传播。
