HIV in Pregnancy: Experience at Abeokuta, Nigeria

Fawole, Adeniran O.; Sotiloye, O S; Hunyinbo, Kehinde I.; Fawole, Olufunmilayo I.; Oladimeji, Ayodele O.; Durodola, Adetoye; Omisakin, Sunday I.; Bale, Abiodun O.; Udo, U.; Otolorin, Emmanuel

doi:10.4314/tjog.v19i1.14363

Cited by 10 publications

(11 citation statements)

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“…This highlights the important role the ANC plays in PMTCT and also in reducing the incidence of HIV/AIDS particularly in communities like ours where the ANC may be the only setting where women have contact with health personnel. The prevalence rate reported in this study is higher than those reported from most other Nigerian centers (Fawole et al, 2002, Ojukwu and Ibekwe, 2005, Ikechebelu et al, 2006 and much higher than the rates reported from the developed world (Lehtouitra et al 2005). This is probably a direct reflection of the situation in the state as the recent national HIV sentinel survey revealed a seroprevalence of 8.0 in the state.…”

Section: Discussioncontrasting

confidence: 69%

Prevalence Of HIV Infection Among Antenatal Attendees At Uyo Teaching Hospital, Akwa Ibom State, South-South Nigeria

Abasiatta¹,

Umoiyoho²,

Udoma³

et al. 2009

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This retrospective study was conducted at the maternity unit of the University of Uyo Teaching Hospital Uyo. The aim was to determine the prevalence of HIV infection among pregnant women receiving antenatal care in the center. The voluntary counselling and testing register, the partner notification and antenatal clinic registers of all patients that booked for antenatal care between 1 st July 2005 and 31 st December 2007 were reviewed. There were 5,635 new antenatal clients during the study period out of which 464 were confirmed HIV positive resulting in a prevalence of 8.2%. Most of the patients were between 21-30 years (70.0%). About 59.4% of the patients were multiparous while 49.4% booked for antenatal care in the third trimester of pregnancy. HIV was diagnosed in the antenatal clinic in 408 (87.9%) of the patients and 182 (39.2%) received antiretroviral drugs during pregnancy. Only 38.8% of the patients accepted to notify their partners. One hundred and eighty eight patients delivered in the hospital. One hundred and twenty (63.8%) had spontaneous vaginal delivery, 63 (33.5%) were delivered by caesarean section, 3 (1.7%) had assisted vaginal breech delivery and 2 (1.1%) had ventouse delivery. The high prevalence of HIV infection among women pregnant women who have antenatal care in our hospital is highlighted. The intensification of strategies aimed at primary prevention of HIV infection in the community, encouraging all pregnant women to avail themselves of orthodox antenatal care, and the need to emphasize the advantages of self disclosure of serostatus to partners during counselling sessions in the antenatal clinic are advocated.

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Section: Discussioncontrasting

confidence: 69%

Prevalence Of HIV Infection Among Antenatal Attendees At Uyo Teaching Hospital, Akwa Ibom State, South-South Nigeria

Abasiatta¹,

Umoiyoho²,

Udoma³

et al. 2009

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“…The prevalence rate of 5.04% among pregnant women in this study is higher than the National prevalence rate of 4.6% (FMoH, 2009) and also higher than those reported from other centres in Nigeria (Bassey et al, 2007;Fawole et al, 2002;Ojukwu and Ibekwe, 2005;Ikechebelu and Udigwe, 2006).…”

Section: Discussioncontrasting

confidence: 48%

Human immunodeficiency virus (HIV) seroprevalence and pregnancy outcome among obstetric population in Abakaliki, Southeast Nigeria

Perpetus¹

2012

J. Public Health Epidemiol.

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Human immunodeficiency virus (HIV) infection hasThirty percent of the babies were exclusively breastfed. Maternal mortality ratio was 3,300 per 100,000 births, while perinatal mortality was 67 per 1,000 for this group of patients. It is concluded that the seroprevalence rate is high with associated adverse maternal and perinatal outcome. Routine screening by the general populace is advocated, as most diagnoses were made during antenatal care. There is also need to educate our women on safe delivery and breastfeeding options.

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“…The use of HAART in pregnancy has shown remarkable improvement in immune status and reduction of MTCT of HIV infection [1] but some adverse pregnancy conditions have been seen in some studies [2,3,4]. These include preterm delivery, low birth weight and gestational diabetes.…”

Section: Introductionmentioning

confidence: 99%

A Cohort Study Of HIV Positive Pregnant Mothers On Antiretroviral Drugs (ARVs) In The Gambian Tertiary Hospital

Anyanwu¹,

Anya²,

Offiong³

et al. 2020

Preprint

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BackgroundAims: The use of HAART in pregnancy has shown remarkable improvement in immune status and have revolutionized the approach of care to people living with HIV. Some adverse pregnancy conditions have been reported which may depend on type of regimen, time and duration of use. The use of ARVs in pregnancy have been dynamic and transition from one regimen to the other have setting and country based variations. Therefore, knowing the impact of ARVs in pregnancy among PLHIV in our settings deserve evidence based information.MethodsPregnant women attending antenatal clinic at the hospital were prospectively recruited and followed up. HIV positive mothers were recruited irrespective of gestation age. At the time of delivery, obstetric and neonatal characteristics were entered into computer database. Mothers and their children were followed until 6 weeks postpartum. The data was analyzed with Epi-info version 7.1.5. Chi square at significant level of 0.05 and confidence level of 95% was used to determine significance.ResultsA total of 55 HIV positive mothers were in the study. The age range was between 18 to 45 years and parity was 0 to 8. The mean birth weight and gestation age at delivery was 2.92 kg (SD 0.556) and 36 weeks (SD 2.8 weeks) respectively. The absolute CD4 count of 350cells/mm3 and above (57.13%) was associated with low incidence of low birth weight. The mean glycaemic results were within normal range, 4.02–4.75 and 5.00-6.79 Mmol/l pre and post prandial respectively.Conclusionlow birth weight was not associated with HAART in pregnancy and good immune condition was not associated any low birth weight. There was no association of protease inhibitors and gestational diabetes mellitus

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HIV in Pregnancy: Experience at Abeokuta, Nigeria

Cited by 10 publications

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Prevalence Of HIV Infection Among Antenatal Attendees At Uyo Teaching Hospital, Akwa Ibom State, South-South Nigeria

Prevalence Of HIV Infection Among Antenatal Attendees At Uyo Teaching Hospital, Akwa Ibom State, South-South Nigeria

Human immunodeficiency virus (HIV) seroprevalence and pregnancy outcome among obstetric population in Abakaliki, Southeast Nigeria

A Cohort Study Of HIV Positive Pregnant Mothers On Antiretroviral Drugs (ARVs) In The Gambian Tertiary Hospital

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