HIV感染孕妇妊娠结局的选择及影响因素分析  

The choice and influencing factors of pregnant outcome among HIV infected women

作　　者：龚双燕[1] 王临虹[1] 方利文[1] 莫云[2] 孙定勇[3] 李燕[4] 张伟[5] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心,100027 [2]广西壮族自治区妇幼保健院 [3]河南省疾病预防控制中心性病艾滋病防治研究所 [4]云南省妇幼保健院 [5]新疆维吾尔自治区疾病预防控制中心妇幼保健中心

出　　处：《中国妇幼保健》2007年第17期2387-2389,共3页Maternal and Child Health Care of China

基　　金：国家"十五"科技攻关课题资助(2004BA719A03)

摘　　要：目的：了解我国高发地区HIV感染孕妇对妊娠结局的选择现状,分析相关影响因素。方法：在HIV感染相对高发的4省15个县、市、区,对2004～2006年6月间307名感染HIV的孕妇,进行面对面的问卷调查,调查内容包括人口学特征,相关行为,感染途径,预防艾滋病母婴传播（PMTCT）知识,接受PMTCT服务情况和最终的妊娠结局。结果：在研究期间,孕期已知HIV感染的妇女307名共妊娠320次,24.38%（78/320）自愿选择终止妊娠。其中,2004年自愿终止妊娠率为11.76%（10/85）,2005年24.31%（35/144）,2006年上半年36.26%（33/91）。选择终止妊娠的比例随着时间变化呈现出上升趋势（P〈0.01）。多元Logistic回归分析显示,预防艾滋病母婴传播知识的知晓情况以及家庭现有孩子数目对妊娠结局的选择情况具有影响作用（P〈0.05）。结论：需高度重视HIV感染妇女的生殖健康,避免非意愿妊娠并提供安全流产服务。同时,提供优质的咨询服务,注重知情选择妊娠结局,对保障感染HIV妇女的身心健康具有重要意义。Objective： To learn the choice of pregnant outcome of HIV infected women in high HIV prevalence area in China and explore factors correlated with this choice. Methods： Three hundred and seven HIV infected pregnant women, who were identified in 15 counties/cities/districts of 4 provinces with relative high HIV prevalence from January 2004 to June 2006, were investigated through questionnaire. The items included demographic characteristics, related behaviors, infected route, knowledge of prevention of mother to child transmission of HIV/AIDS （PMTCT） , utility of PMTCT service and the pregnant outcome. Results ： Among the 307 HIV infected women with 320 pregnancies who knew their infect status during pregnant period, there were 24. 38% （78/320） of them choosing the termination of pregnancy. The percentage was 11. 76% （10/85） in 2004, 24. 31% （35/144） and 36. 26% （33/91） in 2005 and the early half of 2006 respectively. The trend seemed to be increasing during study period （P 〈 0. 01 ）. According to the multiple Logistic regression analysis, the knowledge of PMTCT and the child number would influence the choice of HIV infect women for pregnant outcome （P 〈0. 01 ）. Conclusion： It is imperative to pay attention to the reproductive health to avoid unwanted pregnancy and provide safe abortion for women living with HIV. It also called for excellent counseling to help the women to make informed choice and ensure the physical and psychological health for them.

关 键 词：HIV 感染 孕妇 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]