A RETROSPECTIVE STUDY OF FETOMATERNAL OUTCOME IN HIV POSITIVE PREGNANT WOMEN

Abstract

Introduction: In present scenario Acquired immunodeficiency syndrome is one of the worst global health concerns.HIV has a dramatic impact on the health of mother and children. Parent to child transmission of HIV is a major route of new infection in children.   

Objective: Aim of my study is to find out the prevalence of HIV status among pregnant women delivering in our hospital and to determine maternal and fetal outcome in those HIV positive pregnant women.   

Materials and Methodology: A retrospective study conducted in Government medical college and sir T hospital, Bhavnagar from May 2019 to April 2021. All HIV positive pregnant women with >28 weeks gestation and who are on ART or not and delivering in our hospital were selected. Maternal and fetal outcome variables were analysed.

Results: Total deliveries during the study period were 9526. Of these HIV positive pregnant women were 58, prevalence being 0.6%. Primigravida were found to be 34.48%, 48.27% were diagnosed HIV positive during pregnancy, vaginal deliveries were 75.86% and caesarean section was 24.13%. Birth weight <2kg in 20.68%.Exclusive breast feeding in 81.13%. Nevirapine prophylaxis were given to 96.22% of neonate. 

Conclusion: Early diagnosis and initiation of therapy will prevent transmission to their children and better fetomaternal outcome. Awareness and information is important to increase access to PPTCT services. Team approach involving an experienced obstetrician, neonatologist and physician gives hope of having a healthy uninfected baby for HIV infected mothers.

Keywords: fetomaternal, HIV