RECENT TRENDS OF HIV TRANSMISSION FROM MOTHER TO CHILD: RETROSPECTIVE STUDY OF 4 YEARS IN A TERTIARY CENTRE

DR. VANDANA K. SAINI; DR. SURBHI V. SHARMA

Volume : IV, Issue : IX, September - 2015

RECENT TRENDS OF HIV TRANSMISSION FROM MOTHER TO CHILD: RETROSPECTIVE STUDY OF 4 YEARS IN A TERTIARY CENTRE

Dr. Vandana K. Saini, Dr. Surbhi V. Sharma

Abstract :

OBJECTIVE– Mother to child transmission of HIV is a major route of HIV infection in children. The objective of this study is to analyse the response to implementation of PPTCT programme and to see the fetomaternal outcome of pregnancy in HIV positive mother METHODS–this retrospective study was done in the department of obs & gynec, sardaben hospital , NHL medical college, ahmedabad and data collected from April 2011 to March 2015,a period of 4 years was studied. PPTCT centre was established in our institution in 2006.All pregnant women attending the antenatal clinic or labour room are counselled for HIV testing and tested as per NACO guidelines. Babies to HIV positive women delivered were followed up to 18 months for testing. RESULTS–prevalence of HIV infection in pregnant women delivered at our institute is 0.332%. Out of them, 87% were booked and 13% were unbooked. Of 85 seropositive women who deliverd, 52 (62%) had vaginal delivery and 32 (38%) had LSCS for obstetric indication. Of 85 seropositive women who delivered one was IUD and 84 were live births. 84 babies screened for HIV , 2 were reactive.40 babies were given exclusive eastfeeding and 44 babies were given exclusive replacement feeding. CONCLUSION–Mother to child transmission is one of the major route of HIV transmission among children all over the world. With effective implementation of PPTCT programme,HIV infection in antenatal women is showing decreasing trend. Expanding programmes for PPTCT and use of more effective ARV regimens helped prevent more than 8,00,000 children from becoming newly infected between 2005 and end of 2012.(1)