Département des Sciences Biologiques et Santé Publique, Faculté Mixte de Médecine et de Pharmacie, Lomé, Togo.
J Int AIDS Soc. 2012;15(2):17380. doi: 17380.
HIV screening in a labour ward is the last opportunity to initiate an antiretroviral prophylaxis among pregnant women living with HIV to prevent mother-to-child HIV transmission. Little is known about the feasibility and acceptability of HIV screening during labour in West Africa.
A cross-sectional survey was conducted in the labour ward at the Tokoin Teaching Hospital in Lomé (Togo) between May and August 2010. Pregnant women admitted for labour were randomly selected to enter the study and were interviewed on the knowledge of their HIV status. Clinical and biological data were collected from the individual maternal health chart. HIV testing or re-testing was systematically proposed to all pregnant women. Among 1530 pregnant women admitted for labour, 508 (32.2%)were included in the study. Information on HIV screening was available in the charts of 359 women (71%). Overall, 467 women accepted HIV testing in the labour ward (92%). The HIV prevalence was 8.8% (95% confidence interval: 6.4 to 11.7%). Among the 41 women diagnosed as living with HIV during labour, 34% had not been tested for HIV during pregnancy and were missed opportunities. Antiretroviral prophylaxis had been initiated antenatally for 24 women living with HIV and 17 in the labour room.
This study is the first to show in West Africa that HIV testing in a labour room is feasible and well accepted by pregnant women. HIV screening in labour rooms needs to be routinely implemented to reduce missed opportunities for intervention aimed at HIV care and prevention, especially PMTCT.
在产房进行 HIV 筛查是为感染 HIV 的孕妇提供抗逆转录病毒预防的最后机会，以预防母婴 HIV 传播。在西非，人们对在分娩期间进行 HIV 筛查的可行性和可接受性知之甚少。
2010 年 5 月至 8 月期间，在多哥洛美托科因教学医院的产房进行了一项横断面调查。随机选择入院分娩的孕妇进入研究，并对其 HIV 状况的了解进行访谈。从个体产妇健康图表中收集临床和生物学数据。向所有孕妇系统地提出 HIV 检测或重新检测。在 1530 名入院分娩的孕妇中，有 508 名（32.2%）纳入了研究。359 名妇女（71%）的图表中有 HIV 筛查信息。总体而言，467 名孕妇在产房接受了 HIV 检测（92%）。HIV 流行率为 8.8%（95%置信区间：6.4%至 11.7%）。在 41 名被诊断为分娩时感染 HIV 的妇女中，34%在怀孕期间未接受 HIV 检测，错过了机会。41 名妇女中有 24 名接受了产前抗逆转录病毒预防，17 名在产房接受了预防。
本研究首次在西非表明，产房内的 HIV 检测是可行的，且孕妇接受程度良好。需要常规在产房进行 HIV 筛查，以减少干预机会的错失，这些干预旨在提供 HIV 护理和预防，特别是 PMTCT。
