孕产妇艾滋病感染状况及母婴阻断的干预效果研究

目的为了解丽水市孕产妇HIV感染状况及母婴阻断的干预效果,指导艾滋病母婴阻断工作。方法对孕产妇进行HIV抗体检测,抗-HIV初筛阳性标本经艾滋病确认试验。结果 2006年10月1日—2010年9月30日4年间,孕产妇HIV感染率为2.29/万。孕期检出的HIV感染孕妇,更能配合母婴传播阻断措施的落实。目前存活的12名儿童有7名已满18个月,其中有6名抗-HIV抗体阴性,1名拒绝检测。结论丽水市孕产妇HIV感染处于较低水平。今后应加强艾滋病母婴阻断相关知识宣传,并将预防母婴传播服务与婚前、孕前、孕期保健有机结合,提高孕前和孕期HIV的检测率和HIV感染孕妇孕早期检出率。

Study on HIV Infection Prevalence of Pregnant and Lying - in Women and the Interventional Effects of Maternal - infant Transmission Blocking

Objective To study the HIV infection prevalence in pregnant and lying-in women and the effects of prevention of mother-to-child transmission（PMTCT） in Lishui city,so as to provide proper intervention strategy.Methods HIV antibody test was performed in pregnant and lying-in women in Lishui city,and positive cases accepted further confirmatory testing.Results During 4 years of 2006 to 2010,0.229‰ of those tested pregnant and lying-in women were detected and confirmed as HIV positive.The early detection of HIV during pregnancy can facilitate and strengthen the implementation of PMTCT.There were 7 infants over 18 months among all the 12 surviving infants born by those HIV positive mothers.Among the 7 infants,6 were detected as HIV negative and 1 declined the test.Conclusion The prevalence of HIV infection in pregnant and lying-in women in Lishui city is relatively low.Propaganda of HIV PMTCT should be strengthened,and integrated effectively with pre-marital,pre-conception and pregnancy health care.The detection rate of HIV infection before or during pregnancy should be improved to promote the health condition of pregnant and lying-in women and their infants.