DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20174055

Relevance of sociodemographic characteristics in care of HIV reactive pregnant women in the context of upscaled antiretrovial therapy in India

Padmaja Y. Samant, Juhi Jayadev Puri

Abstract


Background: The burden of HIV and AIDS comes with social, monetary and health related consequences. HIV is reported to be a pandemic, but the maximum burden of the disease is in the low and middle income \ countries. In obstetric context, sociodemographic factors influence health seeking, compliance and adherence to the advised regimen. These determine vertical transmission. Present study was undertaken to study the demographic characteristics among pregnant and postpartum HIV positive women, to study the high risk obstetric conditions, morbidities and obstetric outcome, among the women, to study the neonatal outcomes among HIV reactive women and to study the postnatal choices and compliance in these women.

Methods: The study was conducted after approval from the institutional ethics committee. All antenatal patients delivering at the institute in the one and a half year of study duration, who consented to be a part of the study, were enrolled in the study. The mother-baby pair was followed up for six weeks postpartum.

Results: Eighty patients formed the study cohort as per the inclusion criteria. 44% belonged to the age group of 26-30 years. 56.2% had attended up to secondary schooling, 55% belonged to class III of the Kuppuswamy socio-economic class, 96.2% were married. 91.2% were homemakers. 41.8% spouses were seropositive, 25.3% spouses were not willing to be tested. 75% were registered pregnancies out of which 56% had registered before 20 weeks of gestation. 25% of neonates weighed between 2.7-2.9 kg closely followed by those more than 3 kg. Fifty-four patients opted for top feeding (66.7%). Seven mother-baby pair did not follow-up.

Conclusions: Social class and educational status play a vital role in establishing awareness and ensuring the antenatal care and compliance. Empathetic, inclusive and responsive by health care providers in convincing women to get tested goes a long way.


Keywords


Antenatal Screening, ART, HIV, PPTCT, Socio-demographic characteristics

Full Text:

PDF

References


Latest statistics on the status of the AIDS epidemic. UNAIDS. Available at http://www.unaids.org/en/ resources/fact-sheet.

HIV and AIDS estimates India 2015. UNAIDS Available at http://www.unaids.org/en/ regionscountries/countries/india.

Goswami S, Chakravorty PS. Prevention of parent to child transmission of HIV (PPTCT): an effort of 4 years in a tertiary centre. J Obstet Gynecol India. 2011;61(4):394-8.

Prevention of parent to child transmission (PPTCT) of HIV using multi drug anti-retroviral regimen in India. 2013. Available at http://www.indiahivinfo. naco.gov.in/sites/default/files/media-gallery/National _Guidelines_for_PPTCT.pdf

Counselling HIV-positive mothers about how to feed their babies using current HIV and infant feeding recommendations. Available at www.waba.org.my/whatwedo/hcp/pdf/hivkit4.pdf

Rajaraman D, Palmer N. Changing roles and responses of health care workers in HIV treatment and care. Trop Med Int Health. 2008;13(11):1357-63.

Joshi U, Patel S, Shah K, Oza U, Modi H. Studying PPTCT services, interventions, coverage and utilization in India. J Glob Infect Dis. 2011;3(4):371-7.

Fabiani M, Nattabi B, Opio AA, Musinguzi J, Biryahwaho B, Ayella EO et al. A high prevalence of HIV-1 infection among pregnant women living in a rural district of north Uganda severely affected by civil strife. Trans R Soc Trop Med Hyg. 2006;100(6):586-93.

Ojieabu WA, Femi-Oyewo MN, Ojieabu CI. Impact of educational status on HIV/AIDS knowledge, attitude and misconceptions among pregnant women. Int J Biol Chem Sci. 2012;6(4):1582-92.

Vieira ACBC, Miranda AE, Vargas PRM de, Maciel ELN. HIV prevalence in pregnant women and vertical transmission in according to socioeconomic status, Southeastern Brazil. Rev Saude Publica. 2011;45(4):644-51.

HIV Transmission Through Breastfeeding. A review of available evidence. An Update from 2001-2007. Available at http://www.who.int/nutrition/topics/ Paper_5_Infant_Feeding_bangkok.pdf.

Shapiro R, Lockman S. Mortality among HIV-exposed infants: the first and final frontier. Clin Infect Dis. 2010;50(3):445-7.