HIV感染妇女分娩婴儿低出生体质量情况及影响因素分析

目的了解HIV感染妇女分娩婴儿的出生体质量及其影响因素,为HIV感染妇女的孕期保健提供指导依据。方法分析云南省5个艾滋病高、中流行县(市/区)HIV感染妇女分娩的156例婴儿的出生体质量,采用现况研究方法对其影响因素进行分析。结果共调查155例HIV感染母亲,低出生体质量发生率为14.74%(23/156),早产率为5.13%(8/156),在足月分娩的新生儿中,低出生体质量发生率高达10.14%(15/148)。早产(OR=18.0,95%CI:4.803～67.459)和妊娠期贫血(OR=3.784,95%CI:2.236～12.373)是造成HIV感染妇女分娩婴儿低出生体质量的重要影响因素。结论孕妇感染HIV病毒会造成早产与低出生体质量的机会增加,应加强HIV感染妇女的孕期保健指导。

Study on Low Birth Weight and Correlates of Infants Born by HIV Positive Woman

Objective To understand the birth weight status of infants born by HIV positive woman, and to explore its correlates FACTOR for taking effective measures for pregnancy health guidance. Methods Total 156 case records about infant of born by HIV positive woman in 5 HIV high or mid epidemic counties (city and district) in Yunnan from January 2006 to March 2008 were selected to understand the status of birth weight. Results The total of 155 mothers received survey. Percentage of low birth weight rate was 14.74% (23/156), the rate of premature labor was 5.13% (8/156), and the rate of mature infant was 10.14% (15/148).The main correlations with the low birth weight status of infants born by HIV positive women were as follows: premature labor(OR=18.0, 95% CI: 4.803～67.459) and gestation anaemia(OR=3.784, 95% CI: 2.236～12.373). Conclusion Because pregnant woman has influenced by HIV virus, the opportunity that causes premature labor and low birth weight would increase,Therefore should strengthen the pregnancy guidance of health protection of HIV influence woman.