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首页> 外文期刊>Nepal Journal of Obstetrics and Gynaecology >Prevention of Mother to Child Transmission (PMTCT) Program at Paropakar Maternity and Women’s Hospital: A Review
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Prevention of Mother to Child Transmission (PMTCT) Program at Paropakar Maternity and Women’s Hospital: A Review

机译：帕罗帕卡妇产妇医院的母婴传播预防计划：回顾

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Aims: Vertical transmission from mother to fetus is the main route of HIVinfection among children. This study is an effort to review utilization of prevention of mother to child transmission (PMTCT) services by pregnant women seeking care in Paropakar Maternity and Women’s Hospital (PMWH). Methods: Case records of 165 pregnant women with HIV positive status who delivered at Paropakar Maternity and Women’s Hospital, Kathmandu from April 2005 to Dec 2011 were reviewed. Demographic profile of these women and interventions to prevent mother to child transmission (MTCT) including antiretroviral prophylaxis (ARV), mode of delivery, infant feeding practice as well as HIV status of their children were recorded. Results: Hospital records showed 109262 antenatal attendees and 120823 deliveries including 165 HIV infected women who delivered in this facility. Prevalence of HIV infection among antenatal attendees was 0.11 % and 0.13% in hospital deliveries. Migrant worker spouse (44.2%) was the main source of infection in their wives. Eighty eight (55.7%) out of 150 eligible women received ARV drugs and 97% babies received antiretroviral prophylaxis . Spontaneous vaginal delivery occurred in 60% women and caesarean section performed in the rest. While 60.8% women opted for exclusive breast feeding, remaining 39.2% chose formula feeding. For prophylaxis of opportunistic infection, Cotrimoxazole was given to 70.3% children. The incidence of HIV infection in babies born to HIV infected mother was 5.1%. Conclusions: Integrating PMTCT services into existing maternal and child health system can significantly reduce perinatal transmission of HIV infection to children. DOI: http://www.dx.doi.org/10.3126jog.v7i2.11138 Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 25-28
机译：目的：从母亲到胎儿的垂直传播是儿童中HIV感染的主要途径。这项研究旨在回顾在帕罗帕卡妇产妇医院（PMWH）寻求治疗的孕妇对预防母婴传播（PMTCT）服务的利用情况。方法：回顾了2005年4月至2011年12月在加德满都帕罗帕卡妇产妇和妇产医院分娩的165例HIV阳性孕妇的病例记录。记录了这些妇女的人口统计资料和预防母婴传播（MTCT）的干预措施，包括抗逆转录病毒预防（ARV），分娩方式，婴儿喂养习惯以及孩子的HIV状况。结果：医院记录显示有109262名产前护理人员和120823名分娩，其中包括165名在该设施分娩的HIV感染妇女。住院分娩中艾滋病毒感染的患病率分别为0.11％和0.13％。移徙工人的配偶（44.2％）是妻子的主要传染源。在150名合格妇女中，有88名（55.7％）接受了抗逆转录病毒药物治疗，而97％的婴儿接受了抗逆转录病毒药物预防。 60％的女性发生自发性阴道分娩，其余患者进行剖腹产。尽管60.8％的妇女选择了纯母乳喂养，但其余39.2％的妇女选择了母乳喂养。为了预防机会性感染，将70.3％的儿童服用Cotrimoxazole。母亲感染艾滋病毒的婴儿所生婴儿的艾滋病毒感染率为5.1％。结论：将PMTCT服务整合到现有的母婴健康系统中可以显着减少围产期HIV感染给儿童的传播。 DOI：http://www.dx.doi.org/10.3126jog.v7i2.11138尼泊尔妇产科杂志/第7卷/第2期/第14期/ 2012年7月至12月/ 25-28

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