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目的通过对艾滋病病毒(HIV)感染孕产妇及所生婴儿采取预防艾滋病母婴传播措施的现状分析,探讨重庆地区预防艾滋病母婴传播干预措施实施的相关影响因素及对策。方法采用统一问卷及个案表,对68例HIV感染孕产妇进行有关检测时间、感染原因、妊娠结局、影响各种预防传播措施的实施情况的回顾性调查。结果在调查的68例HIV感染孕产妇中,22例在孕期终止了妊娠,占32.4%。28.3%的分娩产妇和68.6%的新生儿服用了抗逆转录病毒药物,100%婴儿采用了人工喂养方式。结论现行的预防艾滋病母婴传播措施是可行的。孕产妇初次产检的时间影响了孕产妇的服药比例,应该提高孕早期检测率。
Objective To explore the influential factors and countermeasures of implementing the interventions to prevent mother-to-child transmission of HIV in Chongqing through the analysis of the status quo of preventing mother-to-child transmission of HIV among pregnant women and infants born to HIV. Methods A total of 68 cases of HIV-infected pregnant women were retrospectively surveyed on the detection time, the cause of infection, the outcome of pregnancy and the implementation status of various preventive measures using a unified questionnaire and case table. Results Of the 68 HIV-infected pregnant women surveyed, 22 stopped pregnancy during pregnancy, accounting for 32.4%. Antiretroviral drugs were administered to 28.3% of mothers and 68.6% of newborns, and 100% of infants were fed artificially. Conclusion The current measures to prevent mother-to-child transmission of AIDS are feasible. The time of first maternity checkup affects the proportion of maternal medication, should increase the detection rate of early pregnancy.