Ezegwui H U, Isiekwene C I C
Reproductive and Sexual Health unit, Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital Enugu, Nigeria.
Niger J Med. 2011 Oct-Dec;20(4):432-4.
More than 80% of pregnant women world wide remain sexually active during pregnancy. Majority of them experience reduction in sexuality especially as the pregnancy progresses. Medical staff should play a more proactive role in providing information on sexuality to HIV positive pregnant women.
To evaluate sexualbehavior and activity in HIV positive pregnant women and their sources of information.
This was a cross-sectional study recruiting ninety six HIV positive pregnant women who attended Prevention of maternal to child transmission clinic (PMTCT) of University of Nigeria Teaching Hospital (UNTH) Enugu south east Nigeria from June to August 2007. Data was collected on age, parity, educational qualification and their sexual behavioral changes in pregnancy before and after diagnosis of HIV infection and their sources of information concerning sexuality in pregnancy.
Sixty (62.5%) of the pregnant women reported an overall decrease in sexual desire during pregnancy since the diagnoses of HIV in pregnancy. Seventy-eight (81.2%) reported decrease of sexual frequency. Twenty-one (21.9%) had stopped any form of sexual intercourse in the present pregnancy since they were diagnosed HIV positive. Majority of the women (94.6%) practiced vaginal intercourse both during and after the diagnosis of HIV. The majority ( 60%) use condom for sexual intercourse after the diagnoses of HIV in pregnancy as against 51.2% before the diagnoses of the disease. 69.8% of the women did not know the effect of unprotected sexual intercourse with HIV positive partner on maternal to child transmission (MTCT) of HIV. Most of the women (56.3%) got their information on sexual behavior in pregnancy from doctors and other medical staff. 76% believed that these sexual behavioral changes should be discussed with their doctors but only 47.9% had already discussed this with doctors. They want the health workers to initiate discussion on sexuality.
The findings suggest a decrease in sexuality during pregnancy in HIV positive pregnant women. However some of the pregnant mothers stopped any form of sexual activity as soon as they were diagnosed HIV positive. The majority had started using condom to decrease the transmission of the virus. The health workers should encourage complete fulfillment of safe sexual activity during pregnancy in mothers living with human immunodeficiency virus and AIDS
全球超过80%的孕妇在孕期仍有性行为。她们中的大多数人性欲下降，尤其是随着孕期进展。医务人员应在向感染艾滋病毒的孕妇提供性方面信息方面发挥更积极的作用。
评估感染艾滋病毒的孕妇的性行为和性活动及其信息来源。
这是一项横断面研究，招募了96名感染艾滋病毒的孕妇，她们于2007年6月至8月在尼日利亚东南部埃努古的尼日利亚大学教学医院（UNTH）的预防母婴传播诊所（PMTCT）就诊。收集了她们的年龄、产次、教育程度以及在感染艾滋病毒前后孕期性行为的变化，还有她们孕期性方面信息的来源。
60名（62.5%）孕妇报告自孕期诊断出感染艾滋病毒后性欲总体下降。78名（81.2%）报告性行为频率降低。21名（21.9%）自诊断出感染艾滋病毒阳性后在本次孕期停止了任何形式的性交。大多数女性（94.6%）在诊断出感染艾滋病毒前后都有阴道性交。大多数（60%）在孕期诊断出感染艾滋病毒后性交时使用避孕套，而在疾病诊断前这一比例为51.2%。69.8%的女性不知道与艾滋病毒阳性伴侣进行无保护性交对艾滋病毒母婴传播（MTCT）的影响。大多数女性（56.3%）从医生和其他医务人员那里获得孕期性行为方面的信息。有76%的人认为这些性行为变化应该与医生讨论，但只有47.9%的人已经与医生讨论过。她们希望医护人员发起关于性方面的讨论。
研究结果表明感染艾滋病毒的孕妇在孕期性行为减少。然而，一些孕妇在诊断出感染艾滋病毒阳性后就立即停止了任何形式的性活动。大多数人开始使用避孕套以减少病毒传播。医护人员应鼓励感染人类免疫缺陷病毒和艾滋病的母亲在孕期完全进行安全性行为
