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首页> 外文期刊>Infectious diseases in obstetrics and gynecology >A Study to Determine the Incidence and Prevalenceof Newly Discovered Human ImmunodeficiencyVirus Infection During the Prenatal Care Period
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A Study to Determine the Incidence and Prevalenceof Newly Discovered Human ImmunodeficiencyVirus Infection During the Prenatal Care Period

机译：确定产前护理期间新发现的人类免疫缺陷病毒感染的发生率和患病率的研究

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Objectives:This study asked the following questions: 1) Does HIV testing in pregnancy identifywomen who previously were not known to be HIV positive? 2) When in pregnancy are womenidentified as HIV infected? 3) Does HIV seroconversion occur during the prenatal care period?Methods:Medical records of 97 women from two primarily indigent care hospitals in Houston,TX who were found to be HIV positive at delivery were reviewed to determine if they had testedpositive during the prenatal care period. Demographics and time of gestation of the prenatal testingalso were recorded. The outcome measures were: 1) number of women found positive duringprenatal care; 2) week of gestation at discovery of HIV positivity; and 3) number of womenseroconverting between the initiation of prenatal care and delivery.Results:Thirty women were known to be HIV positive prior to pregnancy. Fifty-six women werefound to be positive during prenatal care and the seropositivity of 44 was discovered before the 34thweek of pregnancy. Ten women were found to be positive at their first prenatal visit, which occurredafter the 34th week. Date of testing was unknown for two women. Eleven women whoreceived no prenatal care were found to be HIV positive at delivery. There were no seroconversionswhile women were under prenatal care.Conclusions:HIV testing at delivery did not find any HIV-positive women who had testednegative during prenatal care. Testing is very important for women who do not receive prenatalcare. Making certain that high-risk women get into prenatal care also is very important. Infect. Dis.Obstet. Gynecol. 8:172–175, 2000.
机译：目的：这项研究提出了以下问题：1）怀孕期间的艾滋病毒检测是否能确定以前不知道艾滋病毒呈阳性的妇女？ 2）在怀孕的时候，女性被识别为感染了HIV？ 3）在产前检查期间是否发生艾滋病毒血清转化？方法：对德克萨斯州休斯顿的两家主要贫困医院的97名妇女在分娩时发现HIV阳性的医学记录进行了检查，以确定她们在产前检查中是否呈阳性期。还记录了产前检查的人口统计学和妊娠时间。结果指标为：1）在产前检查中发现阳性的妇女人数; 2）在发现HIV阳性时妊娠一周; 3）在开始产前保健和分娩之间进行血清转换的女性人数。结果：已知有30名女性在怀孕前为HIV阳性。发现有56名妇女在产前检查期间呈阳性，并且在怀孕第34周之前发现了44名患者的血清阳性。在第34周后进行的第一次产前检查中发现有10名妇女呈阳性。两名女性的测试日期未知。 11名未接受产前检查的妇女在分娩时被发现为HIV阳性。结论：孕妇在分娩时进行HIV检测时，未发现任何HIV阳性的妇女在产前检查中呈阴性。对于没有接受产前检查的妇女，测试非常重要。确保高危妇女进入产前保健也很重要。感染。 Dis.Obstet。 Gynecol。 8：172–175，2000年。

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