TITLE:
HIV/AIDS Screening in the African Birthplace (Hospital in Kayes, Mali)
AUTHORS:
Mahamadou Diassana, Ballan Macalou, Sitapha Dembele, A. Sidibe, M. Diallo, Soumana Oumar Traore, Cheickna Sylla, Amadou Bocoum, Ibrahima Teguete, Youssouf Traore
KEYWORDS:
Screening, HIV/AIDS, Parturients, Delivery Room
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.3,
March
18,
2021
ABSTRACT: Purpose: The purpose of this study was to determine HIV prevalence among
participants admitted to the delivery room and recent birth attendants. Materials
and Methods: This was a descriptive, cross-sectional, analytical study, with a
prospective collection from February 1, 2018 to January 31, 2019 at fousseyni
Daou Hospital in Kayes, Mali. Results: During our
study period, we recorded 4269 deliveries.
HIV-positive patients known before labour accounted for 0.21%. Four
hundred and six participants received counselling/testing in the delivery room;
of which 36 refused the test: 8.87% and 370 accepted or 91.13%. Thirteen
patients tested positive or 3.51%. The 20 - 35 age
group was the most represented at 76.92%. Positive patients tested received ARV
treatment in the delivery room in 92.31% of cases; and 1 patient or 7.69% did
not receive treatment for refusal. Vaginal delivery was the most common at 77%, with caesarean section 23%. Newborns had a
good prognosis in their first weeks of life in 85%; fetal lethality was
observed in 15% of newborns including 1 case of fresh stillbirth and 1 case of
pediatric deaths for neonatal suffering. Conclusion: Counselling and
voluntary HIV/AIDS testing during labour and
immediate postpartum can detect many pregnant women who escape screening
during antenatal consultations.