Treatment of gestant HIV at the hospital and university center of the mother and child of lagoon (Benin)

Abstract

Objectives:To describe the medical and obstetrical management of HIV-infected gestants at CHU-MEL.

Patients and Method: It was a descriptive cross-sectional study conducted at the Mother and Child Lagoon Hospital in Benin from 1st January 2015 to 30th June 2017. Included in the study were all pregnant and parturient HIV-positive women who attended pregnancy and gave birth during the data collection period. The data analysis was done with the Epi Info software by calculating averages and deviations.

Results and conclusion: The prevalence of HIV was 1.9% (188/9554) of the women who gave birth. The mean age of the patients was 30 ± 5 years; 77.8% were married; 67.7% were craftswomen and 60.3% lived in a monogamous diet. The mean gestational age at the 1st prenatal consultation was 37 weeks + 4 days with an average difference of 10 + 1 day. The majority was seen in WHO stage 1 (79,9%). The CD4 assay was not performed in 44.3% of cases. Antiretroviral therapy was triple therapy in 99.3% and started in pregnancy in 88.6% of cases. The newborn was 61.5% complete in the long term and vaginal delivery was the common mode of delivery (62.2%). Late management and poor paraclinical examinations impair the quality of prevention of mother-to-child transmission.