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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。
Objective To understand the birth weight of infants born to HIV-infected women and its influencing factors, and to provide guidance for the pregnant women with HIV infection during their pregnancy. Methods The birth weight of 156 infants born to HIV-infected women from 5 HIV / AIDS high and endemic counties (cities / districts) in Yunnan Province was analyzed, and the influencing factors were analyzed by current research methods. Results A total of 155 HIV-infected mothers were investigated. The incidence of low birth weight was 14.74% (23/156) and the preterm birth rate was 5.13% (8/156). Among the newborns with term delivery, the incidence of low birth weight Up to 10.14% (15/148). Preterm birth (OR = 18.0, 95% CI: 4.803 to 67.459) and gestational anemia (OR = 3.784, 95% CI: 2.236 to 12.373) were the most important contributors to the low birth weight of infants born to HIV-infected women. Conclusions Pregnancy infected with HIV can increase the chances of premature birth and low birth weight. Women’s health guidance during pregnancy should be strengthened.