Department of Obstetrics & Gynaecology, Ladysmith Provincial Hospital, Kwazulu Natal, South Africa.
Afr J Reprod Health. 2023 Feb;27(2):87-91. doi: 10.29063/ajrh2023/v27i2.9.
Women infected with the human immunodeficient virus have a higher risk of pelvic inflammatory disease, which could lead to development of ectopic pregnancy due to fallopian tubal pathology. Due to short pregnancy period, women with ectopic pregnancy unlikely complete the antenatal screening, which includes HIV tests. Therefore, it is postulated that unscreened HIV infection prevalence in women with ectopic pregnancy diagnosis could be significantly higher than in women with normal intrauterine pregnancy (IUP). The aim of the present retrospective cross-sectional study was to determine the association between ectopic pregnancy and HIV infection in KwaZulu Natal Province hospital setting, between 2016 and 2017. 5427 pregnant women with normal pregnancies formed the intrauterine pregnancy (IUP) cohort, while 83 patients were part of the ectopic pregnancy cohort. The statistical HIV prevalence was significantly higher in the ectopic pregnancy cohort (56.63% vs 39.4%, P-value of 0.001). In addition, HIV prevalence in the ectopic pregnancy cohort was analyzed per age group, and it was found to be higher in the 25-34 years age group (88.3%) than the 16-24 (43.3%) and 35-42 (60%) years age groups. This study highlights the significance of conducting a full antenatal screening programme in patients who present with ectopic pregnancy, to improve the rate of HIV infection testing and treatment in women who present with ectopic pregnancy.
感染人类免疫缺陷病毒的女性患盆腔炎的风险更高，这可能导致输卵管病理导致宫外孕。由于妊娠周期短，宫外孕患者不太可能完成包括 HIV 检测在内的产前筛查。因此，据推测，未经筛查的 HIV 感染在宫外孕诊断女性中的流行率可能明显高于正常宫内妊娠（IUP）女性。本回顾性横断面研究的目的是确定 2016 年至 2017 年在夸祖鲁-纳塔尔省医院环境中宫外孕与 HIV 感染之间的关联。5427 名正常妊娠的孕妇组成了宫内妊娠（IUP）队列，而 83 名患者属于宫外孕队列。宫外孕队列的 HIV 流行率显著更高（56.63%比 39.4%，P 值为 0.001）。此外，对宫外孕队列的 HIV 流行率进行了年龄组分析，发现 25-34 岁年龄组（88.3%）的 HIV 流行率高于 16-24 岁（43.3%）和 35-42 岁（60%）年龄组。本研究强调了在出现宫外孕的患者中进行全面产前筛查计划的重要性，以提高宫外孕患者 HIV 感染检测和治疗的比率。
