DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20191017

HIV and pregnancy: fact sheet of a tertiary care hospital in Ajmer, Rajasthan, India

Sandhya Choudhary, Swati .

Abstract


Background: As HIV infection in women occurs primarily during reproductive years, hence incidence of HIV infection especially in sexually active women is more sensitive marker to track course of HIV epidemics. Pregnant women represent low risk population, so prevalence in pregnant women is proxy to HIV in general population.

Methods: A prospective study was conducted in the Department of Obstetrics and Gynecology in JLN Medical College, Ajmer from April 2015 to August 2018. It included women attending antenatal clinic and emergency ward of labor room of our hospital.

Results: Total 71 women were found positive for HIV out of 36,006 pregnant women who attended antenatal clinic, giving the prevalence of 0.197%. Out of these 71 cases, 1 case was positive for both HIV1 and HIV2. The prevalence of HIV positive women delivering in our hospital was 0.269%. 40.84% women belonged to age group 25-29.9 years and 39.43% to 19-24.9 years. Among 71 antenatal seropositive women, primigravida and second gravid accounted for equal fraction of the study population i.e. 33.80% each. 19.72% came from urban areas while 80.28% were from rural areas. 22.53% (16/71) had sero-discordant spouses. All seropositive women had singleton pregnancy and were housewives. 94.61% were registered for Anti-Retroviral Treatment (ART) and 5.39% went loss to follow up.

Conclusions: The serodiscordance rate in our region is quite high (22.53%). Increased awareness in society leading to increase in number of pregnant women attending ICTC will help in reducing transmission of HIV by safer sex practices.


Keywords


ART, HIV, Serodiscordance, Seroprevalence

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References


Anthony S. Fauci, H. In: Clifford Lane, ed. Harrison’s principles of internal medicine: 1506-1516.

Praveena P, Edward S, Kannan L. A study on cognizance of vertical transmission of HIV/AIDS among pregnant women attending antenatal clinic in a tertiary care hospital, Chennai. Int J Community Med Public health. 2016;3:408-13.

Royce RA, Sena A, Cates W, Cohen M. Sexual transmission of HIV. N Engl J Med. 1997;15:1072-8.

Soto-Ramirez LE, Renjifo B, McLane MF, Marlink R, O’hara C, Sutthent R, et al. HIV-1 Langerhans’ cell tropism associated with heterosexual transmission of HIV. Science. 1996;271:1291-3.

NACO Guidelines for the prevention of mother to child transmission of HIV Available at http://www.naco.nic.in/pmtct.html.

UNAIDS, AID epidemic update. December 2004. NACO Annual report 2002-2004. Available at: http://files.unaids.org/en/media/unaids/contentassests/documents/unaidspublication/2004/GAR2004_en.pdf

˄ a b c d e f g h I j “WHO Model List of essential Medicines Application” (PDF). WHO.

India HIV Estimations 2015: Technical Report (NACO, ICMR). Available at: naco.gov.in>sites.default.files.India

Giri PA, Bangal VB, Phalke DB. Prevalence of HIV among rural pregnant women attending antenatal clinics at Pravara Rural Hospital, Loni, Maharashtra, India. Int J Health Allied Sci. 2012;1:13-5.

Patil VM, Moray AP, Patil SP. Ten years’ trend of HIV seroprevalence among Indian pregnant women attending antenatal clinic at tertiary hospital in Dhule, Maharashtra, India. Int J Reprod Contracept Obstet Gynecol. 2017;5(5):1514-9.

Gupta S, Gupta R, Singh S. Seroprevalence of HIV in pregnant women in North India: a tertiary care hospital based study. BMC Infect Dis. 2007;7(1)133.

Khokhar N, Jethwa D, Lunagaria R, Panchal N. Seroprevalence of hepatitis b, hepatitis c, syphilis and HIV in pregnant women in a tertiary care hospital, Gujarat, India. Int J Curr Microbiol. 2015;4(9):188-94.

Sarkate P, Paranjpe S, Ingole N, Mehta P. Monitoring HIV epidemic in pregnant women: are the current measures enough? J Sexually Transmitt Dis. 2015;2015.

Dash M, Mohantay I, Sahu S, Narasimham M, Padhi S, Panda P. Declining HIV seroprevalence among pregnant women in South Odhisha, India: a six and half year tertiary care hospital based. IJBR. 2012;3(7):546-51.

Carpenter LM, Kamali A, Ruberantwari A, Malamba SS, Whitworth JA. Rates of HIV-1 transmission within marriage in rural Uganda in relation to the HIV sero-status of the partners. AIDS. 1999:13:1083-9.

Huggonet S, Mosha F, Todd J, Mugeye K, Klokke A, Ndeki L, et al. Incidence of HIV infection in stable sexual partnerships. A retrospective cohort study of 1802 couples in Mwanza Region, Tanzania. J Acquir Immune Defic Syndr. 2002:30:73-80.

Siriwasin W, Shaffer N, Roongpisuthipong A, Bhiraleus P, Chinayon P, Wasi C, et al. HIV prevalence, risk, and partner serodiscordance among pregnant women in Bangkok. Bangkok Collaborative Perinatal HIV Transmission Study Group. JAMA. 1998;280:49-54.

Shah I. Discordant HIV infection among married Indian couples. Med J DY Patil Univ. 2015;8:326-7.