Adverse pregnancy outcomes among hiv-positive women on art before and during pregnancy delivered at Mwananyamala and amana hospitals.
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Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Hubert Kairuki Memorial University
Abstract
Background: Adverse pregnancy outcome among HIV positive women who delivery are those observation in the studies which have shown that HIV infection with associated with varying with rates of stillbirth, perinatal and infants mortality, intra-uterine foetal growth restriction and low birth weight and chorioamnionitis. HIV in pregnancy is a problem that needs special consideration as far as foetal and maternal wellbeing was concerned. Is a major medical problem encountered especially in developing countries including Tanzania and is associated with high morbidities and mortality. It is associated with detrimental foetal outcome especially when the patient has advanced stage of the diseases. Objective: To determine adverse pregnancy outcomes among HIV-positive women delivered at Mwananyamala and Amana Hospitals in Dar es Salaam. Methodology: A Descriptive cross section study, was used on 384 participants attending at my at Mwananyamala and Amana hospitals in Dar es Salaam from December 2018 to July 2019. Sociodemographic information together with participants’ information was collected through a structured questionnaire. Data analysis was done by using SPSS Version 23. Results: In this study prevalence of adverse pregnancy outcome among HIV pregnancy women on ART was found to be: delivery by caesarean section19.5%, by assisted delivery 1.24%, while 27.02% had preterm delivery. The prevalence of Preterm delivery was higher compared to the study conducted in Tanzania Urban and Rural in 2014 where by the prevalence was 11%. This result was also contrary to the study conducted in Zanzibar prevalence was found to be lower by 3%. Conclusion: This study has found that postnatal women who were started ART during pregnancy were at higher risk of getting newborn with adverse outcome compared to those who started ART before pregnancy.
Description
A dissertation submitted in partial fulfillment of the requirements for the degree of master of medicinein Obstetrics and Gynaecology, HKMU 2019
Keywords
Pregnancy outcomes, Hiv-positive women, Referal hospitals
Citation
Mzige, Hamza M., 2019. Adverse pregnancy outcomes among hiv-positive women on art before and during pregnancy delivered at Mwananyamala and amana hospitals. HKMU