Firth Jacqueline, Wang Chia-Ching, Gillani Fizza, Alexander Nicole, Dufort Elizabeth, Rana Aadia, Cu-Uvin Susan
Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RI 02912, USA.
Infect Dis Obstet Gynecol. 2012;2012:895047. doi: 10.1155/2012/895047. Epub 2012 Jun 17.
Meeting the needs of HIV-infected pregnant women requires understanding their backgrounds and potential barriers to care and safe pregnancy. Foreign-born women are more likely to have language, educational, and economic barriers to care, but may be even more likely to choose to keep a pregnancy. Data from HIV-infected pregnant women and their children in Rhode Island were analyzed to identify trends in demographics, viral control, terminations, miscarriages, timing of diagnosis, and adherence to followup. Between January 2004 and December 2009, 76 HIV-infected women became pregnant, with a total of 95 pregnancies. Seventy-nine percent of the women knew their HIV status prior to becoming pregnant. Fifty-four percent of the women were foreign-born and 38 percent of the 16 women who chose to terminate their pregnancies were foreign-born. While the number of HIV-infected women becoming pregnant has increased only slightly, the proportion that are foreign-born has been rising, from 41 percent between 2004 and 2005 to 57.5 percent between 2006 and 2009. A growing number of women are having multiple pregnancies after their HIV diagnosis, due to the strength of their desire for childbearing and the perception that HIV is a controllable illness that does not preclude the creation of a family.
满足感染艾滋病毒的孕妇的需求需要了解她们的背景以及获得护理和安全怀孕的潜在障碍。外国出生的女性在获得护理方面更有可能面临语言、教育和经济障碍，但她们选择继续怀孕的可能性可能更高。对罗德岛州感染艾滋病毒的孕妇及其子女的数据进行了分析，以确定人口统计学、病毒控制、终止妊娠、流产、诊断时间和随访依从性方面的趋势。2004年1月至2009年12月期间，76名感染艾滋病毒的女性怀孕，共95次妊娠。79%的女性在怀孕前就知道自己感染了艾滋病毒。54%的女性是外国出生的，在选择终止妊娠的16名女性中，38%是外国出生的。虽然感染艾滋病毒的怀孕女性数量仅略有增加，但外国出生的女性比例一直在上升，从2004年至2005年的41%升至2006年至2009年的57.5%。由于她们强烈的生育愿望以及认为艾滋病毒是一种可控疾病且不影响组建家庭，越来越多的女性在艾滋病毒诊断后多次怀孕。
