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Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 8, August 2024 | Rating: 5.4 / 10
A Prospective Observational Study on Mode of Delivery and Perinatal Outcome in HIV Positive Pregnant Female
Dr. Shainaz Tabassum, Dr. H. E. Ramaraju, Dr. Kanakadurga, Dr. Anagha Shyam Prasad
Abstract: Introduction: It is a disorder of immune system in which body?s normal defence against infection break down leaving it vulnerable to threatening infection. India has third largest pool of HIV cases in the world and 2.14 million people living with HIV. Parent to child transmission of HIV is major route of new HIV infection in children. Pregnant women who are found HIV positive should have immediate and lifelong ART to treat HIV and improve her own health and maximally suppress maternal viral load prior to conception to decrease the risk of perinatal transmission and HIV transmission to uninfected partner. Aim: To study the mode of delivery in HIV positive women and to study perinatal outcome like birth weight, stillbirth, NICU admissions. Methods: This was prospective observational study which was conducted for 6 months (From August 2023 to January 2024) 30 patients were having HIV positive among 3412 deliveries. Thorough examination, investigations and treatment given according to NACO guidelines and fetomaternal outcome were noted in all cases. Results: In present study, prevalence of HIV Positive pregnant women was 0.87%. Out of 30 patients, 3 (10%) cases were diagnosed with HIV during ANC examination.22 (73%) patients were having CD4 count >500 and 1 (3.33%) patient having low CD4 count.24 (80%) patients delivered vaginally and 6 (20%) underwent LSCS.6 (20%) of babies were admitted to NICU, 1 (3.33%) stillbirth and 28 (93.33%) babies tested negative, 2 (6.6%) losses to follow up. Conclusion: Maternal HIV transmission is the primary means by which infants become infected. hence prevention of HIV transmission is of paramount importance. Regular ANC care and multidisciplinary approach has similar obstetric outcome in HIV infected and uninfected women. Duration of HIV positive status, CD4 count, ART treatment and compliance, mode of delivery, breast feeding practices, neonatal prophylaxis these factors attribute to perinatal transmission.
Keywords: HIV Positive, PPTCT, CD4 count, ART
Edition: Volume 13 Issue 8, August 2024
Pages: 1262 - 1264