2010—2013年新疆HIV感染孕产妇妊娠结局分析

发布时间：2018-12-28 10:24

【摘要】：本文旨在了解新疆HIV感染孕产妇妊娠结局。利用2010—2013年间在预防艾滋病母婴传播管理信息网络直报系统中报告的HIV感染孕产妇个案卡资料进行分析。2 256例HIV感染孕产妇平均年龄29.1岁,以维吾尔族为主,占90.65%,初中及以下文化程度者占72.07%,无业和农民占82.36%(其中无业者占47.30%),初婚占56.12%,再婚占37.19%。2次及以上妊娠者占69.68%,有316例HIV感染孕产妇在知道自己的感染状况后仍然选择妊娠,占总数的14.01%;再次妊娠的HIV感染孕产妇中人工终止妊娠的比例明显高于第一次接受服务的HIV感染孕产妇,两者有统计学差异(χ2=141.14,P=0.000)。新疆HIV感染孕产妇知道自身感染情况后仍有选择再次妊娠者,再次妊娠者中选择人工终止妊娠的比例明显高于第一次妊娠者,提示意外妊娠的存在,建议加强HIV感染妇女预防艾滋病母婴传播咨询服务和避孕指导,减少意外妊娠的发生,使HIV感染女性能够了解相关知识从而能够做出正确的生育或妊娠选择。
[Abstract]:The aim of this article is to understand the pregnancy outcome of pregnant women infected with HIV in Xinjiang. The data of HIV infected pregnant women reported from 2010 to 2013 in the management information system of prevention of mother-to-child transmission of AIDS (PMTCT) were analyzed. The average age of HIV infected pregnant women was 29.1 years old, mainly Uygur. The proportion was 90.65, 72.07 for junior middle school and below, 82.36% for unemployed and peasant (47.30% for unemployed), 56.12 for first marriage, and 69.68 for remarriage 37.19.2 and above. 316 pregnant women with HIV infection still chose pregnancy after knowing their infection status, accounting for 14.01% of the total; The rate of artificial termination of pregnancy in pregnant women with HIV infection was significantly higher than that of pregnant women infected with HIV for the first time (蠂 ~ 2 / 141.14P ~ (0.000). The pregnant women with HIV infection in Xinjiang still had the choice of re-pregnancy after knowing their own infection, and the proportion of those who chose artificial termination of pregnancy was obviously higher than that of the first pregnancy, indicating the existence of accidental pregnancy. It is suggested to strengthen the counseling service and contraceptive guidance for the prevention of mother-to-child transmission of HIV among women infected with HIV, to reduce the incidence of unwanted pregnancy, and to enable women infected with HIV to understand the relevant knowledge so as to make correct birth or pregnancy choices.
【作者单位】：新疆维吾尔自治区妇幼保健院;
【分类号】：R512.91

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