Abstract
Background: Human Immunodeficiency Virus (HIV) infection is increasing at an alarming rate globally. Apart from heterosexual route, mother to-child transmission is the next most important route of HIV transmission accounting for over 90% of infections in children. The present retrospective study is undertaken to evaluate the effectiveness of implementation of PPTCT programme in SZH, GMC Bhopal.
Material and Methods: Pregnant women attending antenatal OPD from 2011 to 2015 were tested for HIV by Rapid Test which included pre and post-test counselling. Antiretroviral prophylaxis with nevirapine was given to seropositive mother-baby pairs during delivery.
Results: A total of 78582 ante-natal women were counselled and 99.98% (78574) of them gave consent for HIV testing. Seropositivity in these women was 0.08% (67 cases). The no. of positive deliveries (109) exceeded the no. of positive antenatal cases (67). 11 women opted for pregnancy termination, 69.7% were delivered through vaginal route. There were 90.82% (99) live births. 89.9% (89) mothers opted for exclusive breastfeeding. All the newborns received nevirapine prophylaxis.
Conclusion: PMTCT services - counselling and testing should be provided to all ANCs. EDD-based tracking, institutional deliveries, postnatal counselling to be encouraged along with complete MB pair coverage, capacity building of concerned staff regarding delivery of HIV+ve ANCs and exposed children tracking.
Keywords: Antiretroviral therapy, HIV, Nevirapine, Seroprevalence.
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Corresponding Author
Dr Garima Gupta
Department of Obstetrics and Gynecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone: 07049090775
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.123
