HIV screening in the delivery room at the maternity hospital of the health reference center of the district V of Bamako

Abstract

Objectives: To evaluate the impact of counseling for HIV screening in the delivery room in parturient who did not benefit from this activity during prenatal consultation. Methods: The study was carried out at the health reference center of the District V of Bamako between January 1^st and December 31^st, 2014. All the parturient admitted to the delivery room were enrolled after brief description of the study. Were included those who were at a cervical dilatation at 4cm stage or more or in the immediate postnatal and have a gestational age ≥ 28 weeks of amenorrhea and/or had a baby with fetal weight ≥1000g. The diagnosis of HIV was first performed with strip test and confirmed with immunocomb II HIV1 and 2 Bi spot. Results: The study reported that 4.34% (380) of parturients did not do HIV screening during antenatal care. In the delivery room, these 380 parturients have all benefited from voluntary HIV testing. We registered 11 refusals. Of the 369 parturients who took the test, 37 were HIV positive or 10%. The mean age was 27 ± 07; uneducated (58.9%) living in a polygamous regime (65.9); prenatal follow-up done (95.12%); 93% followed in the PMTCT structures. Antiretrovirals were given to all mothers and live infants.Conclusion: Given the high frequency (10%) of the positive cases in our study, it is necessary to continue the activities of Counseling and Voluntary Screening in the delivery room to allow all pregnant women who give birth in our structures to benefit from PMTCT interventions.