A Profile of HIV Positive Antenatal Women at PPTCT Centre, Kadapa

Introduction

According to HIV surveillance by national AIDS control organization (NACO) in India, percentage of mother to child transmission cases among total AIDS cases is increasing year by year. HIV can be transmitted from mother to infant in 3 ways - Infection may occur in utero, the virus can be transmitted to the infant at the time of delivery or it can be transmitted through breast milk. Many social factors play a key role for increased incidence and prevalence of HIV to antenatal women.

Objectives

1. To know the prevalence of HIV in antenatal women 2. To find the outcome of HIV positive pregnancies. 3 To identify the various social factors in HIV positive women.

Methodology

A Hospital based cohort study at Rajiv Gandhi Institute of Medical Sciences, Kadapa, among PPTCT Centre attendees during the period of One year extends from October 2007 to September 2008. A total numbers of 4112 antenatal women were participated in this study and Oral interview with partially closed ended proforma was applied. The data thus obtained was subjected to analysis and results are presented.

Results

About 4112 ANC are tested, out of which 56 (1.36%) were found to be positive. 51.78% of HIV positive ANC were observed in between age group of 15-24 years. 85.71% of HIV ANC were housewives. 96.42% of HIV+ ANC women were married. 75 % of HIV ANC delivered normally. Pregnancy wastage and IMR for HIV ANC is as high as 30%.27.5%of children delivered to HIV+ women are of low birth weight.

Conclusions

Low birth weight is an observed complication in HIV positive Antenatal case. A negative pregnancy outcome in the form of Pregnancy wastage and IMR is very high. This can be reduced some extent by Peer education, counseling, Proper antenatal checkups and good quality of delivery practices.