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目的了解HIV感染孕产妇住院分娩意愿及分娩地点选择现状,为进一步完善预防艾滋病母婴传播管理模式提供科学依据。方法本研究是现况调查。根据多阶段分层整群抽样原则抽取云南省12个县(市、区)的HIV感染并决定继续妊娠的孕产妇为调查对象,以问卷调查收集相关资料。结果此次共调查558名HIV感染孕产妇,其中愿意住院分娩有537人(96.2%),不愿意住院分娩有3人(0.5%);分娩地点选择当地分娩的有492人(91.6%),异地分娩的有45人(8.4%)。多因素Logistic回归分析显示,少数民族、助产机构离家较近是HIV感染孕产妇选择当地分娩的原因,而家里现已有孩子、助产机构技术好、助产机构服务态度好,以及保密性好是HIV感染孕产妇选择异地分娩的原因。结论 HIV感染孕产妇分娩地点选择受民族、现有子女数、助产机构离家的距离、助产机构技术、助产机构服务态度及保密性的影响。
Objective To understand the status of inpatient childbirth and place of delivery in HIV-infected pregnant women and to provide scientific evidence for further improving the prevention and control of mother-to-child transmission of AIDS. Methods This study is a survey of the status quo. According to the principle of multistage stratified cluster sampling, the pregnant women in 12 prefectures (cities and districts) of Yunnan Province who were infected with HIV and decided to continue the pregnancy were selected as the survey subjects and relevant materials were collected by questionnaire survey. Results A total of 558 HIV-infected pregnant women were interviewed, of whom 537 (96.2%) were hospitalized willingly for hospitalization and 3 (0.5%) were unwilling to hospital delivery, 492 (91.6%) chose local delivery for delivery, 45 people (8.4%) delivered off-site. Multivariate logistic regression analysis showed that ethnic minorities and midwifery institutions close to home were the reasons why pregnant women with HIV infection chose local childbirth. However, the family now has children, skilled midwifery institutions, good midwifery attitude, and confidentiality Sexual HIV infection is a good choice for pregnant women off-site delivery reasons. CONCLUSIONS: The location of HIV-infected pregnant women for childbirth is affected by the ethnicity, the number of children present, the distance to the midwifery, the technology of the midwifery, the attitude of the midwifery and the confidentiality of the midwifery.