HIV prevalence in pregnant women in and around Amsterdam in 1989

The HIV prevalence among pregnant women in 3 hospitals in Amsterdam was found to be 0.28% in 1988. As the population of these 3 hospitals is not representative of all pregnant women in Amsterdam, this study--which is done on a voluntary basis--in 1989 was slowly extended to all hospitals, clinics and practices of midwives. Of 5,176 pregnant women who were eligible in 1989, 4,812 (93.0%) participated in the study. Non-Dutch women were overrepresented among the refusers. Antibodies to HIV were found in 5/4, 812 women (0.10%, 95% confidence interval 0.01-0.19) and all 5 infected women reported an AIDS risk factor either for themselves or for their present or previous partner(s). Three of the infected women were only tested during the third trimester; the 2 others were tested in the first trimester of their pregnancy and underwent an abortion. The prevalence in 1989 was lower than that found in 1988 and this may have been influenced by an increased effort to counsel seropositive women--and especially intravenous drug users--on the risk of pregnancy.     

早期妊娠绒毛膜隆起的妊娠结局及临床转归

目的探讨早期妊娠绒毛膜隆起的妊娠结局及临床转归。方法收集2017年1月至2020年3月间在西安市第四医院行阴道超声检查的34537名孕妇的临床资料,其中78名孕妇为早期妊娠伴有绒毛膜隆起,回顾性分析其超声表现及临床预后。结果早期妊娠中绒毛膜隆起检出率占0.23%(78/34537)。在78名早期妊娠伴有绒毛膜隆起的孕妇中,有12名孕妇要求终止妊娠,占15.38%(12/78);其余66名孕妇中,有23名孕妇为早期流产,3名孕妇为中期流产,流产率为39.39%(26/66)。在40名活产孕妇中,绒毛膜隆起平均值为(10.18±5.52)mm,在26名流产孕妇中,绒毛膜隆起平均值为(10.34±5.76)mm,活产孕妇与流产孕妇绒毛膜隆起平均值差异无统计学意义(Z=0.092,P>0.05)。在66名孕妇中,有48名孕妇(72.73%)伴有1个绒毛膜隆起,其中9名孕妇流产(18.75%);有18名孕妇(27.27%)伴有1个以上绒毛膜隆起,其中17名孕妇流产(94.44%);绒毛膜隆起1个与1个以上的孕妇流产率差异有统计学意义(χ^2=31.419,P<0.05)。结论妊娠结局与绒毛膜隆起的大小无关联,与其数量有关。超声诊断早期妊娠伴有绒毛膜隆起有重要的临床意义,应密切随访观察患者,警惕后期发生不良妊娠结局。     

宁波市高龄孕产妇妊娠结局分析

目的：通过对宁波市高龄孕产妇妊娠结局的分析,进一步了解年龄对妊娠结局的影响,为孕期保健服务提供相关依据。方法：从宁波市2008年的孕期保健监测及出生缺陷监测资料中,分别获取高龄孕妇组与年龄〈35岁孕妇组的相关信息,并对二组资料作统计学分析。结果2008年度宁波市常住人口孕产妇中年龄≥35岁的占5.28%,非常住孕产妇的高龄比例为1.65%,经2χ检验,二组人群差异有统计学意义（χ2=455.83,P〈0.001）;2008年度39 872例本地孕产妇中,自然流产率为1.03%,其中高龄孕产妇的自然流产率为2.69%,年龄〈35岁的孕产妇中有1.09%发生自然流产。二组自然流产率比较,差异有统计学意义（χ2=41.583,P〈0.01）;全市61 311例孕产妇中,发现出生缺陷625例,出生缺陷发生率为101.94/万,其中高龄孕产妇的出生缺陷发生率为344.14/万,〈35岁组孕产妇出生缺陷发生率为91.65/万,经χ2检验二组差异有统计学意义（χ2=151.457,P〈0.001）。高龄组孕产妇前10种出生缺陷,与〈35岁组的同种类出生缺陷比较明显增高,且大多有统计学意义,高龄组染色体异常的顺位排列明显靠前。结论：高龄孕产妇的出生缺陷发生率和自然流产率,明显高于年龄〈35岁的孕产妇,应加强对高龄孕产妇的保健指导和孕期监测。     

The prevalence of HIV in pregnant women at 3 outpatient clinics in Amsterdam

Pregnant women who were seen in 3 hospitals in Amsterdam were tested for antibodies to HIV, after informed consent. Out of 2,308 eligible pregnant women, 2,094 (90.7%) participated by name and 21 (0.9%) anonymously; 193 (8.4%) refused to participate. Among refusers there were significantly more women with a non-Dutch nationality or born in other countries. Of 2,115 pregnant women, 6 were found to be HIV-infected (0.28%, 95% confidence interval (0.05-0.51). Among women who at their first prenatal visit reported no AIDS-risk factor either for themselves or their partner(s), the HIV prevalence was 1/1,893 (0.05%) and among women with such risk factor the prevalence was 5/180 (2.78%). Three of the seropositive pregnant women knew before they were tested that they were HIV-infected. Of the 6 HIV-infected women one had a spontaneous abortion and the 4 women who were tested within the period when therapeutic abortion was still possible, decided to continue their pregnancy.     

妊娠前后获知HIV感染对预防母婴传播干预措施利用的影响

目的 探讨妇女妊娠前后获知HIV感染对预防母婴传播(PMTCT)干预措施利用的影响.方法 前瞻性调查了2005-2009年河南、广西、云南、新疆四省(自治区)确认HIV感染的孕产妇5552例,5894人次妊娠,了解其社会人口学特征(将调查对象分为15～、25～、35～49岁3个年龄段),以及确认感染的时期、妊娠结局、艾滋病抗病毒药物应用等PMTCT干预措施的实施.采用单因素和非条件logistic多因素回归模型对HIV感染孕产妇实施PMTCT干预措施的影响因素进行分析.结果 HIV感染孕产妇84.5%(4979/5894)年龄在35岁以下,56.0%(3108/5552)为汉族,85.1%(4727/5552)为农民或无业,86.8%(4815/5552)为初中或以下文化程度,31.2%(1836/5894)的感染孕产妇在妊娠前已知HIV感染.31.7%(1869/5894)的HIV感染孕产妇选择人工终止妊娠,妊娠前已知感染者终止妊娠的比例高达43.8%(805/1836).80.0%(3046/3808)分娩的HIV感染孕产妇应用抗病毒药物,92.3%(883/957)的妊娠前已知感染者应用抗病毒药物,远高于当次妊娠才明确感染者[75.9%(2163/2851);x2=120.39,P＜0.05].多变量分析结果显示,妊娠前已知感染较妊娠前未知感染(OR=3.91,95%CI:3.03～5.05)、15～岁年龄段较35～49岁年龄段(OR=0.75,95%CI:0.57～0.98)的HIV感染孕产妇抗病毒药物应用比例较高.结论 妊娠前已知HIV感染有利于感染孕产妇尽早接受抗病毒药物应用等预防母婴传播的干预措施.     

Results of screening for HIV antibodies in pregnant women, clients of infertility clinics and abortion clinics in the Amsterdam region in 1990

In 1988, a study was started in three Amsterdam hospitals to investigate the HIV prevalence among pregnant women. In 1989 more hospitals and also midwife clinics were included in the study. From 1990 onwards all hospitals in Amsterdam, 22 midwife practices, 2 abortion clinics and 3 clinics for infertility problems participated. The study was carried out on a voluntary basis. Of the 8423 eligible pregnant women in 1990, 7823 women (92.9%) participated and 600 women (7.1%) decided not to participate. Eight women were found to be positive for HIV antibodies (0.10%, 95% CI 0.09-0.11) (1988: 0.28%; 1989: 0.10%). Of these 8 HIV-seropositive women 5 belonged to one of the known AIDS risk groups and 3 women were not aware of any risk-bearing behaviour. Of the 5 women from an AIDS risk group 2 denied a risk factor at their first visit to the clinic. One of the 8 women was positive for antibodies against HIV-2. Among the 719 women tested in the abortion clinics (23.3% refusers) 3 women were positive for antibodies against HIV-2 and I woman against HIV-I (prevalence 0.56%; 95% CI 0.52-0.59). Of the 476 women tested in the clinics for infertility problems no women were found positive for HIV antibodies. During the period 1988-1990, a total of 19 women were found HIV-seropositive in the screening program for pregnant women. Of the 13 women tested within the first 20 weeks of pregnancy 4 women decided to terminate their pregnancy.(ABSTRACT TRUNCATED AT 250 WORDS)     

Pharmaco-economic evaluation of mandatory HIV-screening in pregnancy; a cost-efficacy analysis in Amsterdam

OBJECTIVE: To estimate the cost effectiveness of universal screening for HIV of pregnant women in Amsterdam. DESIGN: Pharmaco-economic model calculation. METHOD: An estimate was made of the minimal and maximal prevalences of undiagnosed HIV infection during pregnancy for the whole of Amsterdam, based on epidemiological data from observation among pregnant women in two Amsterdam hospitals and one obstetrical practice. The calculation was based on universal screening with an ELISA test. The interventions after screening comprised pharmacotherapy during pregnancy, delivery by caesarean section and breast-milk substitution. The issues of pharmaco-economic analysis were whether or not costs were reduced and net costs per year of life gained; the question was also studied at what lifetime costs of care for HIV infected children the net costs would be nil (costs equal benefits). RESULTS: Universal HIV screening in Amsterdam required a total investment of about Dfl 300,000.-per annum. In many of the analysed options for HIV screening the financial profits exceeded the investment. Variation of assumptions showed that the net costs of HIV screening under all conditions investigated would remain below Dfl 1,200.-per life year gained. CONCLUSION: Universal HIV screening of pregnant women in Amsterdam showed a favourable cost effectiveness. The calculations indicated a possibility of reducing costs.     

Adverse outcomes of planned and unplanned pregnancies among users of natural family planning: a prospective study.

OBJECTIVES: The purpose of this study was to determine prospectively whether unplanned pregnancies are associated with adverse pregnancy outcomes among users of natural family planning. METHODS: Women who became pregnant while using natural family planning were identified in five centers worldwide: there were 373 unplanned and 367 planned pregnancies in this cohort. The subjects were followed up at 16 and 32 weeks' gestation and after delivery. The risks of spontaneous abortion, low birth-weight, and preterm birth were estimated after adjustment by logistic regression. RESULTS: The women with unplanned pregnancies were more likely to be at the extremes of age, to report more medical problems before and during the index pregnancy, and to seek antenatal care later in gestation than the women with planned pregnancies. However, women with planned pregnancies reported a higher rate of spontaneous abortion in previous pregnancies (28.8%) than did women with unplanned pregnancies (12.9%). There were no significant differences in the rates of spontaneous abortion, low birthweight, or preterm birth between the two groups. CONCLUSIONS: No increased risk of adverse pregnancy outcomes was observed among women who experienced an unplanned pregnancy while using natural family planning.     

Motives and circumstances surrounding induced abortion among women living with HIV in Brazil

The impact of HIV/AIDS infection on the decision of women living with HIV/AIDS to interrupt a pregnancy remains an understudied topic. In an effort to understand the influence of HIV/AIDS diagnosis on abortion practices, a qualitative study was carried out in seven Brazilian municipalities with women living with HIV/AIDS who reported inducing an abortion at some point in their lives. This study presents the analysis of interviews with thirty women who became pregnant after diagnosis. The results show that for some women, infection was the primary motive for terminating their pregnancy, while for others, the motives for abortion were predominantly related to life circumstances. The decision to abort due to HIV infection is not the same for all women. It is related to the timing of the diagnosis and other aspects of the woman's life during her pregnancy, such as the relationship with her partner, her job and family support. The results suggest the need for more attention from health services to the reproductive decisions of women living with HIV/Aids; the incorporation of men into sexual and reproductive health prevention actions; and a deeper discussion of the illegality of abortion in Brazil and its harmful consequences for women, men, and children.     

长沙市第一医院23例艾滋病母婴阻断效果分析

目的观察人类免疫缺陷病毒(HIV)阳性孕妇母婴阻断效果,摸索适合开展的艾滋病母婴阻断预防模式。方法回顾性分析某院2005—2015年23例HIV阳性孕产妇的病例资料。结果 23例HIV阳性孕产妇均接受了高效抗逆转录病毒治疗(HAART)及阻断HIV母婴传播综合干预服务。其中,12例HIV阳性患者接受HAART后怀孕,10例在孕早期(28周内)检出HIV阳性而接受HAART治疗,1例在孕28周后检出HIV阳性而接受HAART。23例HIV阳性孕妇均娩出正常新生儿,婴幼儿经随访检测均未感染HIV。结论对HIV阳性孕产妇进行HAART是阻断HIV母婴传播的关键,配合新生儿的预防性用药和人工喂养等干预措施,能有效地预防HIV母婴传播。由专科医生提供对HIV阳性孕产妇的HAART,配合妇幼保健医院提供产检、分娩及婴儿的预防性服药,这种相互转介的艾滋病母婴阻断模式有效率较高。     

The effect of partners' characteristics on teenage pregnancy and its resolution

CONTEXT: Although the determinants of whether a teenage woman has a nonmarital pregnancy and how such a pregnancy is resolved have been widely investigated, little is known about the effect of her partner's characteristics or the joint influence of the two partners' characteristics on nonmarital teenage pregnancy. METHODS: Data from the 1995 National Survey of Family Growth are used to examine whether the characteristics of teenage women and their partners affect the likelihood of a nonmarital pregnancy and how the pregnancy is resolved. The data are corrected for underreporting of abortions. RESULTS: More than 17% of teenage women are estimated to have become pregnant during their first nonmarital teenage sexual relationship. About 44% of these pregnancies result in a nonmarital birth and about 18% in a marital birth, while 37% end in an abortion. The likelihood of nonmarital pregnancy declines as age at first intercourse rises, but age does not affect how such a pregnancy is resolved. Women who are older than their first partner are more likely to become pregnant than those who are the same age, and their pregnancies are less likely to end in abortion than in a marital birth. Women who are younger than their first partner are no more likely to become pregnant than other women after the effects of other characteristics are taken into account. The male partner's education is negatively associated with the likelihood of nonmarital pregnancy but is positively associated with the likelihood of abortion if a pregnancy occurs. Differences between partners in race or ethnicity do not affect the likelihood of a nonmarital pregnancy but do increase the likelihood that such a pregnancy will end in abortion or a nonmarital birth rather than in a marital birth. CONCLUSIONS: The characteristics of teenage women and their partners appear to play a role in nonmarital teenage pregnancy and its outcome. However, the estimated relationships between one partner's characteristics and the probability of a nonmarital pregnancy and its resolution are generally little affected by whether the other partner's characteristics are also taken into account.     

‘It hurts,but I don't have a choice,I'm not working and I'm sick’: decisions and experiences regarding abortion of women living with HIV in Cape Town,South Africa

Research was conducted with 36 women living with HIV in Cape Town, South Africa, regarding their decision-making about, and experiences with, abortion of unwanted pregnancies in the public health sector. Abortion intentions and decisions were explored by investigating influencing factors; knowledge of abortion policy and public health sector services; and abortion perceptions and experiences. Findings reveal that many women face censure both for becoming pregnant and terminating a pregnancy, including by family, partners, community members and healthcare providers. Data suggest that abortion may be more stigmatised than HIV despite South Africa's liberal abortion law. Generally, however, study participants were satisfied with the abortion care received. Most would advise women living with HIV to think carefully about abortion, but to make a decision in their own best interests, including only seeking care early in pregnancy from an accredited clinic. Study implications include a need to integrate information and counselling on safe legal abortion within sexual and reproductive health services, especially in efforts to integrate sexual and reproductive health into HIV care, and to forge greater linkages between HIV and abortion services more generally to ensure continuity in follow-up of care for women.     

陕西省咸阳地区贫困农村育龄妇女自然流产状况调查

目的了解陕西省贫困农村育龄妇女自然流产状况及其相关因素。方法于2002—2005年间对陕西省长武县、彬县的农村怀孕妇女进行入户访问获得孕产妇的既往生育史,并对孕妇进行随访,直至获得本次妊娠结局。结果共随访5844例孕产妇,总妊娠次数为9638次,其中1153次为自然流产。孕产妇自然流产妊娠比为12.0%,自然流产率为13.6%,发生自然流产的比例为16.4%。随着妇女年龄的增加、妊娠次数的增加等,育龄妇女发生自然流产的危险性也在增加。结论加强计划生育,减少妊娠次数,延长生育间隔,防止高龄怀孕将有助于降低陕西省贫困农村育龄妇女自然流产的发生水平。     

The resolution of teenage first pregnancies

First conceptions occuring in tennage women in the U.S., the outcomes of the pregnancies, the marital status of the teenage women at conception and at the outcome, whether the pregnancy was intended or not, and whether contraception was used to prevent the pregnancy are discussed. It was determined that 30% of a cross section of teenage women have had premarital intercourse and 58% of those married had premarital intercourse. Of those experiencing premarital intercourse, 30% were pregnant before marriage, i.e., fewer than 10% of all females 15-19. Twice as many blacks have premarital intercourse than whites, and twice as many of these become pregnant. 35% of those who have a premarital first pregnancy marry before the baby is born. 64% of premarital first pregnancies are unintended. Of those who did not want to become pregnant, 13-16% used contraception to prevent the premarital pregnancy. 86% of births to blacks from first pregnancies are illegitimate compared with 23% for whites. More than 1/5 of the women who do not marry end the pregnancy by induced abortion. White teenagers who do not marry prior to the outcome of the pregnancy are 7 times more likely to have an induced abortion than blacks. 18% of the whites who have illegitimate births from first pregnancies give up their children for adoption compared with 2% blacks. Fewer than 30% of postmarital first pregnancies of teenage women are unintended. Blacks appear to display less anxiety than whites over illegitimate births. It may be that escape via abortion and marriage is less accessible to blacks than to whites both economically and psychologically.     

The HIV prevalence among pregnant women in the Amsterdam region (1988–1991)

The objective of the study was to monitor the HIV prevalence in the years 1988–1991 among pregnant women in the Amsterdam region, visitors to an abortion clinic and 3 outpatient infertility clinics. All women attending these clinics were asked to participate in the study on a voluntary basis and were tested with informed consent. The women were questioned about risk-bearing behaviour of themselves and their sexual partner(s). In the period 1988–1991, of the 23,827 eligible pregnant women, 22,165 women participated (93.0%). Twenty-seven women were found to be positive for HIV antibodies (0.12%, 95% CI: 0.08%–0.17%), of whom twenty belonged to a known HIV risk group or had a partner who belonged to one of these groups and 7 women had no known HIV risk. Seventeen of the 27 women had a foreign nationality. The annual HIV prevalence among pregnant women was: 1988: 0.28%; 1989: 0.10%; 1990: 0.10%; 1991: 0.11%. In the years 1990 and 1991, of the 1,128 eligible women visiting the abortion clinic 953 (84.5%) were tested. Eleven women were HIV-seropositive (1.15%, 95% CI: 0.6%–2.0%), of whom 9 were from an AIDS endemic region, 1 woman had a partner from this region and 1 woman had no known HIV risk. Four African women had HIV-2 antibodies. At the 3 outpatient infertility clinics 1 woman was found to be HIV-positive (0.13%; 95% CI: 0.02–0.9). She had no other risk than a partner from an AIDS endemic area. In the Amsterdam region there was a steady and low HIV prevalence (0.1%) among pregnant women through the years 1988–1991. The prevalence in the abortion clinic was ten times higher. The program was able to detect possible high risk groups within the population. Migration and travelling can play an important role in the spread of HIV in the general heterosexual population.     

HIV感染孕妇妊娠结局的选择及影响因素分析

目的:了解我国高发地区HIV感染孕妇对妊娠结局的选择现状,分析相关影响因素。方法:在HIV感染相对高发的4省15个县、市、区,对2004~2006年6月间307名感染HIV的孕妇,进行面对面的问卷调查,调查内容包括人口学特征,相关行为,感染途径,预防艾滋病母婴传播(PMTCT)知识,接受PMTCT服务情况和最终的妊娠结局。结果:在研究期间,孕期已知HIV感染的妇女307名共妊娠320次,24.38%(78/320)自愿选择终止妊娠。其中,2004年自愿终止妊娠率为11.76%(10/85),2005年24.31%(35/144),2006年上半年36.26%(33/91)。选择终止妊娠的比例随着时间变化呈现出上升趋势(P<0.01)。多元Logistic回归分析显示,预防艾滋病母婴传播知识的知晓情况以及家庭现有孩子数目对妊娠结局的选择情况具有影响作用(P<0.05)。结论:需高度重视HIV感染妇女的生殖健康,避免非意愿妊娠并提供安全流产服务。同时,提供优质的咨询服务,注重知情选择妊娠结局,对保障感染HIV妇女的身心健康具有重要意义。     

Certainty and intention in pregnancy decision-making: An exploratory study

ObjectiveAbortion is often characterized as an inherently difficult decision, despite research demonstrating high decision certainty among abortion patients. Minimal research has examined decision certainty among people planning to continue a pregnancy. We examined whether women seeking abortion experience lower decision certainty than those planning to continue pregnancies and whether certainty differs by pregnancy intendedness.Study designWe administered the decisional conflict scale (DCS) to pregnant women (n = 149) at 8 U.S. primary and reproductive health clinics. Using Poisson regression models adjusted for sociodemographic and pregnancy characteristics, we evaluated differences in DCS scores (<25/100 vs ≥25/100) by pregnancy decision and whether pregnancy intention modified the effect of pregnancy decision on certainty.ResultsOver one-half (58%) of respondents planned to have an abortion, 32% to continue the pregnancy, and 10% were unsure. DCS scores were low overall (median 9.4/100; IQR: 1.6, 25.0), indicative of high certainty, and the percentage scoring ≥25/100, reflecting any uncertainty, did not differ by pregnancy decision (23% abortion vs 19% continuing, p = 0.55). In a multivariable model, there was no statistically significant interaction between pregnancy decision (abortion vs continuing pregnancy) and intention. However, the predicted percentage reporting any uncertainty among respondents with intended pregnancies was comparable among those decided on abortion (13%) and continuing the pregnancy (16%). Among those with unintended pregnancies, these figures were 25% among those decided on abortion vs 36% among those continuing.ConclusionLevels of certainty about a pregnancy decision were high and appeared to depend more on whether the pregnancy was intended or unintended than on the pregnancy decision itself.ImplicationsSimilar levels of uncertainty among individuals who decided to have an abortion versus continue a pregnancy challenge the narrative that abortion is a particularly difficult medical and personal decision. The prevalence of some uncertainty among respondents continuing pregnancies suggests voluntary options counseling may be useful for some patients in prenatal care settings.     

Acceptance and use of the female condom among women with incomplete abortion in rural Tanzania

BACKGROUND: This study describes the outcome of a postabortion care intervention aimed at introducing the female condom as a means of preventing women from having unwanted pregnancies and sexually transmitted infections (STIs)/HIV. METHODS: Postabortion contraceptive counseling and services were offered to 548 women admitted to the Kagera Regional Hospital for incomplete abortion. The counseling included information about STI/HIV and the use male or female condom. In total, 521 (95%) women accepted contraception. RESULTS: Contraceptive use was assessed 3 months after abortion among 475 (91%) women. The female condom was accepted by 201 of 521 (39%) and was used by 158 of 521 (30%). Women who had experienced an unsafe abortion, had attended secondary school or earned an income were more likely to accept the female condom. The women were generally satisfied with the method, and the majority intended to use it again. CONCLUSION: Postabortion care programs provide an excellent entry point for introducing the female condom as a contraceptive method for the prevention of both repeat unwanted pregnancies and STI/HIV infection.     

'It hurts, but I don't have a choice, I'm not working and I'm sick': decisions and experiences regarding abortion of women living with HIV in Cape Town, South Africa

Research was conducted with 36 women living with HIV in Cape Town, South Africa, regarding their decision-making about, and experiences with, abortion of unwanted pregnancies in the public health sector. Abortion intentions and decisions were explored by investigating influencing factors; knowledge of abortion policy and public health sector services; and abortion perceptions and experiences. Findings reveal that many women face censure both for becoming pregnant and terminating a pregnancy, including by family, partners, community members and healthcare providers. Data suggest that abortion may be more stigmatised than HIV despite South Africa's liberal abortion law. Generally, however, study participants were satisfied with the abortion care received. Most would advise women living with HIV to think carefully about abortion, but to make a decision in their own best interests, including only seeking care early in pregnancy from an accredited clinic. Study implications include a need to integrate information and counselling on safe legal abortion within sexual and reproductive health services, especially in efforts to integrate sexual and reproductive health into HIV care, and to forge greater linkages between HIV and abortion services more generally to ensure continuity in follow-up of care for women.     

43 310例孕产妇艾滋病监测结果分析

目的了解深圳市宝安区孕产妇艾滋病病毒(HIV)感染流行现状和趋势,对HIV阳性的孕产妇进行指导干预及治疗。方法对首次来院做产前检查的孕产妇进行HIV监测。HIV检测采用ELISA/硒法筛查和蛋白印迹(WB)法确诊。同时对4年中的孕产妇HIV监测情况作一比较。结果4年间,共对我院43310例孕产妇进行了HIV监测,检出5例阳性患者,孕产妇HIV阳性率为0.12‰。其中4例为经性途径感染,1例为经血途径感染。妊娠结局:1例自然流产,2例引产,2例行择期剖宫产。由于对HIV的监测及宣教,孕产妇的预防意识增强,监测率由2002年的86.3%上升到2006年的99.9%。结论对孕产妇HIV的监测,可有效地降低和阻止母婴垂直传播。近年深圳市宝安区孕产妇HIV感染主要经性途径感染,需进一步加强对此人群的行为教育干预,利用各种宣传渠道,提高孕产妇对母婴传播艾滋病的认识。