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Published:
Mar 8, 2013Keywords:
Maternal HIV unbooked status perinatal outcome Orlu
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Unbooked Status: A Predictor of Adverse Perinatal Outcome in HIV Positive Women at a Tertiary Hospital in the South Eastern Nigeria
Abstract
Background: The scourge of HIV infection in developing countries has continued to rise at an alarming rate. This has
serious health, economic and social consequences on the society.
Aims and Objectives: The study was conducted to determine the effect of non-attendance of antenatal care on perinatal outcome of HIV positive pregnant women at the Imo State University Teaching Hospital (IMSUTH), Orlu.
Methods: A retrospective analysis of the case records of women (both booked and unbooked) who tested positive to Human Immune-deficiency Virus and the perinatal outcome
at the Imo State University Teaching Hospital (IMSUTH), Orlu from 1 May 2005 to 30 April 2010 was made. The biosocial, obstetric and perinatal outcome data were extracted and analysed.
Result: The maternal HIV positive sero-prevalence at delivery was 6.9%. The highest sero prevalence rate of 42.4% occurred in the age group of 31-35years. Sixty-three (68.5%) of the women were para 1-4. Unbooked status significantly contributed to perinatal morbidity and mortality: 13 (92.9%) of the low birth weights, 15 (71. 4%) of the still birth/IUFD, 4 (80.0%) of the birth asphyxia and 9 (81.8%) of the preterm babies. None of the women was symptomatic on presentation.
Conclusion: The high maternal HIV positive seroprevalence with its associated poor perinatal outcome seen more in unbooked women in this study calls for interventions that would reduce maternal morbidity and improve perinatal outcome. The interventions that include intermittent preventive therapy for malaria, good nutrition and antiretroviral therapy must receive serious attention, which can be provided by early booking and adequate antenatal care services.
Key Words: Maternal HIV, unbooked status, perinatal
outcome, Orlu.
serious health, economic and social consequences on the society.
Aims and Objectives: The study was conducted to determine the effect of non-attendance of antenatal care on perinatal outcome of HIV positive pregnant women at the Imo State University Teaching Hospital (IMSUTH), Orlu.
Methods: A retrospective analysis of the case records of women (both booked and unbooked) who tested positive to Human Immune-deficiency Virus and the perinatal outcome
at the Imo State University Teaching Hospital (IMSUTH), Orlu from 1 May 2005 to 30 April 2010 was made. The biosocial, obstetric and perinatal outcome data were extracted and analysed.
Result: The maternal HIV positive sero-prevalence at delivery was 6.9%. The highest sero prevalence rate of 42.4% occurred in the age group of 31-35years. Sixty-three (68.5%) of the women were para 1-4. Unbooked status significantly contributed to perinatal morbidity and mortality: 13 (92.9%) of the low birth weights, 15 (71. 4%) of the still birth/IUFD, 4 (80.0%) of the birth asphyxia and 9 (81.8%) of the preterm babies. None of the women was symptomatic on presentation.
Conclusion: The high maternal HIV positive seroprevalence with its associated poor perinatal outcome seen more in unbooked women in this study calls for interventions that would reduce maternal morbidity and improve perinatal outcome. The interventions that include intermittent preventive therapy for malaria, good nutrition and antiretroviral therapy must receive serious attention, which can be provided by early booking and adequate antenatal care services.
Key Words: Maternal HIV, unbooked status, perinatal
outcome, Orlu.
