Ezugwu Euzebus C, Iyoke Chukwuemeka A, Nkwo Peter O, Ezegwui Hygenius U, Akabueze Jude C, Agu Polycap U
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
Int J Gynaecol Obstet. 2016 Jan;132(1):60-3. doi: 10.1016/j.ijgo.2015.06.039. Epub 2015 Sep 14.
To determine the prevalence and factors associated with unintended pregnancy among HIV-positive pregnant women in Enugu, southeast Nigeria.
A questionnaire-based cross-sectional study was performed of HIV-positive pregnant women receiving prenatal care at two tertiary health institutions in Enugu between March 1 and August 31, 2012. The women were interviewed with a pretested questionnaire.
Overall, 180 HIV-positive pregnant women were recruited, 67 (37.2%) of whom declared that their pregnancy was unintended. Overall, 174 (96.7%) patients were receiving antiretroviral therapy and 99 (55.0%) had future fertility intensions. Participants with regular partners (married or cohabiting) had a significantly higher rate of unintended pregnancy than those with unstable partners (40.3%, n=64/159 vs 14.3%, n=3/21 P=0.029). Age, parity, educational level, and current treatment with antiretroviral therapy did not significantly affect the prevalence of unintended pregnancy.
A substantial number of HIV-positive pregnant women declared their pregnancies to be unintended. Modern contraceptives should be made readily available and accessible to HIV-positive women to help eliminate mother-to-child transmission of HIV and subsequent new pediatric HIV infections.
确定尼日利亚东南部埃努古市艾滋病毒阳性孕妇意外怀孕的患病率及相关因素。
2012年3月1日至8月31日期间，在埃努古市的两家三级医疗机构对接受产前护理的艾滋病毒阳性孕妇进行了一项基于问卷调查的横断面研究。使用经过预测试的问卷对这些妇女进行访谈。
总共招募了180名艾滋病毒阳性孕妇，其中67名（37.2%）称其怀孕属于意外怀孕。总体而言，174名（96.7%）患者正在接受抗逆转录病毒治疗，99名（55.0%）有未来生育意愿。有固定伴侣（已婚或同居）的参与者意外怀孕率显著高于伴侣关系不稳定的参与者（40.3%，n = 64/159 对比 14.3%，n = 3/21，P = 0.029）。年龄、胎次、教育水平以及目前接受抗逆转录病毒治疗均未对意外怀孕患病率产生显著影响。
相当数量的艾滋病毒阳性孕妇称其怀孕属于意外怀孕。应使艾滋病毒阳性妇女能够方便地获取现代避孕药具，以帮助消除艾滋病毒母婴传播及后续新的儿童艾滋病毒感染。
