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目的探讨贵州省2005-2014年间758例感染艾滋病妇女孕产期保健状况。方法通过预防艾滋病母婴传播网络直报信息系统,收集2005-2014年贵州省感染艾滋病且有分娩结局妇女的孕产期保健相关信息,对感染艾滋病妇女孕产期保健情况进行回顾性调查。结果十年来,在对190多万名孕产妇的检测中,发现感染艾滋病的孕产妇1021例,检测阳性率为0.05%。感染艾滋病有分娩结局的758例妇女中,孕早期(≤孕12周)接受初次产前检测的仅为29.02%,初检孕周≥29周的占41.96%;分娩方式为急诊剖宫产的占22.82%;分娩地点为家中的有15例,占1.98%;侵袭性操作(包括会阴侧切、人工破膜、胎儿头皮牵引或产钳术)占18.21%;活产中早产和低体重儿占8.54%。结论重视对艾滋病感染妇女的孕产期保健,包括从孕早期开始进行规范的产前检查和使用抗艾滋病病毒药物、避免急诊剖宫产、减少侵袭性操作、降低早产和低体重儿发生率等综合干预措施,是下一步预防艾滋病母婴传播干预工作的重点。
Objective To investigate the status of maternal health in 758 AIDS-infected women during 2005-2014 in Guizhou province. Methods Through the prevention of direct reporting system of mother-to-child transmission of HIV / AIDS, we collected information on the maternal health care during 2005-2014 in AIDS-infected women with delivery ending in Guizhou province and conducted a retrospective survey on the maternal health status of HIV-infected women. Results Ten years, more than 1.9 million pregnant women in the test, found that 1021 pregnant women infected with AIDS, the detection rate was 0.05%. Of the 758 women who had AIDS with childbirth outcomes, only 29.02% received first prenatal tests during the first trimester (≤ 12 weeks of pregnancy) and 41.96% at the initial pregnancy ≥29 weeks. The mode of delivery was emergency cesarean section Accounting for 22.82%; place of delivery for the home in 15 cases, accounting for 1.98%; invasive operations (including episiotomy, artificial rupture of membranes, fetal scalp traction or forceps) accounted for 18.21%; live births in preterm and low birth weight accounted for 8.54 %. Conclusion The emphasis on maternal health care for HIV-infected women includes standardized prenatal screening and use of anti-HIV drugs from the first trimester, avoiding emergency cesarean section, reducing invasive procedures and reducing the incidence of preterm and low birth weight infants Comprehensive interventions are the focus of the next step in preventing mother-to-child transmission of HIV / AIDS.