Human immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta

Chris I Akani1, Erhabor Osaro2, Dennis O Allagoa11Departments of Obstetrics and Gynecology, 2Hematology, University of Port Harcourt Teaching Hospital, Port Harcourt, NigeriaAbstract: Despite recent advances in the prevention of transmission of human immunodeficiency virus (HIV) infection from mothe...

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Autores principales:	Chris I Akani, Erhabor Osaro, Dennis O Allagoa
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/289ae6e804f347349f6a0caa9d7dc88c
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spelling	oai:doaj.org-article:289ae6e804f347349f6a0caa9d7dc88c2021-12-02T06:00:09ZHuman immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta1179-1373https://doaj.org/article/289ae6e804f347349f6a0caa9d7dc88c2010-09-01T00:00:00Zhttp://www.dovepress.com/human-immunodeficiency-virus-prevalence-in-an-unbooked-obstetric-popul-a5398https://doaj.org/toc/1179-1373Chris I Akani1, Erhabor Osaro2, Dennis O Allagoa11Departments of Obstetrics and Gynecology, 2Hematology, University of Port Harcourt Teaching Hospital, Port Harcourt, NigeriaAbstract: Despite recent advances in the prevention of transmission of human immunodeficiency virus (HIV) infection from mother to child during pregnancy, infants continue to be born and infected with HIV, particularly in Africa. This study was undertaken to determine the seroprevalence of HIV infection among unbooked pregnant women in the Niger Delta of Nigeria. One hundred and eighteen consecutively recruited unbooked subjects presenting to the isolation ward at the University of Port Harcourt Teaching Hospital were screened for HIV. Among the 118 subjects studied, 30 (25.4%) were positive for HIV. HIV-1 was the predominant viral strain. Gestational age of subjects at presentation was 28&ndash;40 weeks and mean age was 35.04 &plusmn; 8.06 years. The majority of subjects were primigravidas 66 (55.9%), while 52 (44.1%) were multigravidas. The prevalence of HIV was significantly higher among unbooked pregnant women with less formal education: 14 (11.9%) compared with 9 (7.6%), 5 (4.2%), and 2 (1.7%) for those with primary, secondary, and tertiary education, respectively (P = 0.01). Among the occupational groups, the prevalence of HIV was significantly higher among traders 14 (11.9%) than in career women 5 (4.2%, P = 0.04). Multigravid women were more susceptible to HIV infection 17 (14.4%) than primigravid women. Perinatal mortality and emergency cesarean section was high among unbooked pregnant women. The prevalence of HIV observed amongst unbooked antenatal subjects in this study is significantly higher than those of booked patients in previous studies. These findings are very pertinent to health care delivery, because this pool of unbooked patients may not be benefiting from the Prevention of Maternal to Child Transmission program, thus increasing the pediatric HIV burden in our environment.Keywords: human immunodeficiency virus, Niger Delta, Nigeria, pregnant women Chris I AkaniErhabor OsaroDennis O AllagoaDove Medical PressarticleImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol 2010, Iss default, Pp 179-184 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Immunologic diseases. Allergy RC581-607
spellingShingle	Immunologic diseases. Allergy RC581-607 Chris I Akani Erhabor Osaro Dennis O Allagoa Human immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta
description	Chris I Akani1, Erhabor Osaro2, Dennis O Allagoa11Departments of Obstetrics and Gynecology, 2Hematology, University of Port Harcourt Teaching Hospital, Port Harcourt, NigeriaAbstract: Despite recent advances in the prevention of transmission of human immunodeficiency virus (HIV) infection from mother to child during pregnancy, infants continue to be born and infected with HIV, particularly in Africa. This study was undertaken to determine the seroprevalence of HIV infection among unbooked pregnant women in the Niger Delta of Nigeria. One hundred and eighteen consecutively recruited unbooked subjects presenting to the isolation ward at the University of Port Harcourt Teaching Hospital were screened for HIV. Among the 118 subjects studied, 30 (25.4%) were positive for HIV. HIV-1 was the predominant viral strain. Gestational age of subjects at presentation was 28&ndash;40 weeks and mean age was 35.04 &plusmn; 8.06 years. The majority of subjects were primigravidas 66 (55.9%), while 52 (44.1%) were multigravidas. The prevalence of HIV was significantly higher among unbooked pregnant women with less formal education: 14 (11.9%) compared with 9 (7.6%), 5 (4.2%), and 2 (1.7%) for those with primary, secondary, and tertiary education, respectively (P = 0.01). Among the occupational groups, the prevalence of HIV was significantly higher among traders 14 (11.9%) than in career women 5 (4.2%, P = 0.04). Multigravid women were more susceptible to HIV infection 17 (14.4%) than primigravid women. Perinatal mortality and emergency cesarean section was high among unbooked pregnant women. The prevalence of HIV observed amongst unbooked antenatal subjects in this study is significantly higher than those of booked patients in previous studies. These findings are very pertinent to health care delivery, because this pool of unbooked patients may not be benefiting from the Prevention of Maternal to Child Transmission program, thus increasing the pediatric HIV burden in our environment.Keywords: human immunodeficiency virus, Niger Delta, Nigeria, pregnant women
format	article
author	Chris I Akani Erhabor Osaro Dennis O Allagoa
author_facet	Chris I Akani Erhabor Osaro Dennis O Allagoa
author_sort	Chris I Akani
title	Human immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta
title_short	Human immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta
title_full	Human immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta
title_fullStr	Human immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta
title_full_unstemmed	Human immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta
title_sort	human immunodeficiency virus prevalence in an unbooked obstetric population in the niger delta
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/289ae6e804f347349f6a0caa9d7dc88c
work_keys_str_mv	AT chrisiakani humanimmunodeficiencyvirusprevalenceinanunbookedobstetricpopulationinthenigerdelta AT erhaborosaro humanimmunodeficiencyvirusprevalenceinanunbookedobstetricpopulationinthenigerdelta AT dennisoallagoa humanimmunodeficiencyvirusprevalenceinanunbookedobstetricpopulationinthenigerdelta
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Human immunodeficiency virus prevalence in an unbooked obstetric population in the Niger Delta

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