Seropositivity for Human Immunodeficiency Virus in Pregnancy in Tertiary Care Hospital in South-West India

*, Shyamala G and Kushtagi, Pralhad and *, Madhushree VB (2004) Seropositivity for Human Immunodeficiency Virus in Pregnancy in Tertiary Care Hospital in South-West India. The Indian Practitioner , 57. pp. 649-652. ISSN 0019-6169

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Objective: To compile the prevalence of seropositivity for Human Immunodeficiency Virus (HIV) in antenatal clinic and to study some of the epidemiological factors. Setting: Tertiary care hospital Study design: Screening for HIV positivity of women attending antenatal clinic and those getting admitted directly in labour was carried out and positive screening tests were confirmed using Enzyme linked immunosorbent assay (ELISA) and Rapid HIV [Tridot HIV and Immunocomb] tests. Information regarding epidemiological factors and obstetric performance was compiled. Results: From June 1997 through November 2001, there were 14,382 pregnancies screened and 122 of them were seropositive [0.8 percent]. More than half of the cases were housewives [66 percent],and were primigravidas [57 percent]. Majority [85 percent] was aged between 20 and 30 years, and 70 percent were in third trimester when detected. Antiretroviral prophylaxis was opted by 44 percent patients. Incidence of Caesarean delivery was higher [37percent] and in half such cases [26 of 45] it was adopted for HIV status. Most of the seropositive women [84 percent] had male partners working away from their native villages. Detection of seropositive cases when compiled year wise, showed rising trend [0.2 percent in 1997 to 1.4 percent in 2001] Conclusion: Detection of HIV seropositive cases in antenatal clinics shows rising trend. Migration for employment of male partner seems to be the defining factor.

Item Type: Article
Uncontrolled Keywords: HIV/CL; HIV/1; HIV2; HIV Infection/DI; HIV Infection/DT; HIV Infection/EP; HIV Infection/PC; HIV Seropositivity; Pregnancy, Trimester, Third; Cesarean Section; Sex Behavior; Enzyme-Linked Immunosorbent Assay; Abortion, Spontaneous/CO; Chemoprevention; Zidovudine/AD; Data Interpretation, Statistical; Human; Adult; Female; Pregnancy
Subjects: Medicine > KMC Mangalore > Obstetrics & Gynaecology
Depositing User: KMCMLR User
Date Deposited: 06 Jun 2012 07:05
Last Modified: 06 Jun 2012 07:05

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