TITLE:
The HIV’s Transmission from the Mother to the Child at the Community Hospital Center of Bangui (Central African Republic)
AUTHORS:
N. R. Ngbale, C. E. Gaunefet, A. Koïrokpi, G. D. Kossa-ko-Ouakoua, S. Matoulou-Mbala-Wa-Ngogbe, S. Ouapou, A. Manirakiza, L. Kobangue, A. Sepou
KEYWORDS:
Transmission, HIV, Community Hospital
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.6,
June
12,
2020
ABSTRACT: Objective: Assess the impact of B + option on mother-to-child
HIV’s transmission at the community university hospital center after 4 years of
use. Patients
and methods: This was a retrospective and analytical study from
January 1st 2015 to December 31st 2018 i.e. 4 years. The population’s study was on HIV-positive mothers and their infants
care in the service. Results: A total of 323 files of infants born from
HIV-positive mothers were selected and having performed the PCR. 9 of them were
HIV positive representing a rate of 2.79% mother-to-child HIV’s transmission. This prevalence was 1.1% for women who started ART
before and during pregnancy. The average age of newborns was 29 years. Mothers
were literally rating in 24.15% during the period of starting antiretroviral
therapy, 63% during pregnancy and 19% before
pregnancy. For the delivery’s way 295 delivered vaginally; they represented 91.33%.
Cesarean delivery was 8.67%. Exclusive breastfeeding represented 87.31% of the
diet. Mothers who started ARV therapy during the labor and after delivery were
more likely to transmit HIV to their infants than mothers who started ART
before and during pregnancy (p = 0.01). The other risk factors were represented
by premature rupture of the membranes (p = 0.0001), hours of labor (p = 0.0001),
use of suction cup (p = 0.0005), birth weight less than 2500 g (p = 0.00). Conclusion: Mother-to-child HIV’s transmission still remains a
public health problem at the Community University Hospital.