某地孕产妇HIV流行及母婴传播研究

目的：了解新蔡县孕产妇人群中艾滋病病毒（HIV）感染情况，为采取综合干预措施降低母婴传播的发生率提供依据。方法：对全县孕产妇利用孕检时机和在妇幼保健院婚检人群提供自愿咨询和免费HIV抗体检测；对HIV抗体阳性的孕产妇实施综合性干预。结果：2003年7月～2004年，有20 490名孕产妇接受了HIV自愿咨询检测（VCT），HIV抗体阳性12名，阳性率0．06％。12名HIV感染孕产妇中，经单采血浆传播6名（50％），受血传播5名（41．7％），经性接触传播1名（8．3％）；有2人其配偶为HIV抗体阳性。7名孕妇终止妊娠（58．3％），5名产妇接受综合性干预后分娩（41．7％）。结论：通过对孕产妇人群提供HIV自愿咨询检测服务和对该人群中的HIV感染者采取综合性干预措施，可防止和降低HIV母婴传播的发生率。

STUDY ON THE HIV PREVALENCE AMONG PREGNANT WOMEN AND PREVENTION OF MOTHER TO CHILD TRANSMISSION IN XIN CAI COUNTY

Objective:To understand HIV prevalence rate in pregnant women and to provide evidence for reducing the incidence of HIV MTCT by comprehensive intervention measures.Methods:Most of pregnant women had received HIV voluntary counseling and free testing during their first pregnatal health check-ups since July 2003.Comprehensive intervention measures were provided to HIV positive pregnant women.Results:From July 2003 to 2004,20490 pregnant women received HIV VCT yearly,There were 12 HIV-infected pregnant women to be identified and the prevalence rate was 0.06%.Of the 12 HIV-infected pregnant women,11 were infected by blood transmission,1 was infected by sexual contact and 2 whose partners were HIV-positive.7 pregnant women terminated their pregnancies(58.3%),5 delivered their bodies after receiving comprehensive interventions.Conclusion:This MTCT program has prevented and reduced the prevalence rate of HIV MTCT by providing VCT to pregnant women and intervention measures to HIV-infected women.