Journal of
AIDS and HIV Research

  • Abbreviation: J. AIDS HIV Res.
  • Language: English
  • ISSN: 2141-2359
  • DOI: 10.5897/JAHR
  • Start Year: 2009
  • Published Articles: 283

Full Length Research Paper

Assessing the relevance of extending the prevention of mother to child human immunodeficiency virus (HIV) transmission procedure to women with unproductive pregnancies

Ntsama Essomba C.
  • Ntsama Essomba C.
  • Department of Animal Biology and Physiology, Laboratory of Parasitology and Ecology, Faculty of Science, University of Yaounde I, P. O. BOX 812, Cameroon. Central Hospital of Yaoundé (Cameroon), P. O. BOX 87, Cameroon.
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Njila Tchoufack E. J.
  • Njila Tchoufack E. J.
  • Department of Animal Biology and Physiology, Laboratory of Parasitology and Ecology, Faculty of Science, University of Yaounde I, P. O. BOX 812, Cameroon.
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Esiene A.
  • Esiene A.
  • Central Hospital of Yaoundé (Cameroon), P. O. BOX 87, Cameroon.
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Kouanfack C.
  • Kouanfack C.
  • Central Hospital of Yaoundé (Cameroon), P. O. BOX 87, Cameroon.
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Tchatchueng J.
  • Tchatchueng J.
  • Central Hospital of Yaoundé (Cameroon), P. O. BOX 87, Cameroon.
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Leme Banock L.
  • Leme Banock L.
  • Department of Animal Biology and Physiology, Laboratory of Parasitology and Ecology, Faculty of Science, University of Yaounde I, P. O. BOX 812, Cameroon.
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Abologo Azeme L.
  • Abologo Azeme L.
  • Department of Animal Biology and Physiology, Laboratory of Parasitology and Ecology, Faculty of Science, University of Yaounde I, P. O. BOX 812, Cameroon.
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Mben J. M.
  • Mben J. M.
  • Central Hospital of Yaoundé (Cameroon), P. O. BOX 87, Cameroon.
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Koulla Shiro S.
  • Koulla Shiro S.
  • Central Hospital of Yaoundé (Cameroon), P. O. BOX 87, Cameroon.
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  •  Accepted: 25 June 2013
  •  Published: 31 August 2013

Abstract

In Cameroon, with regards to the national reprisal to human immunodeficiency virus/acquired immune deficiency syndromes (HIV/AIDS), the HIV status of a mother delivering a live baby, when declared unknown is always determined in the delivery room. This protocol is not applicable to women, whose pregnancies have been identified as unproductive. A descriptive study was conducted in three public hospitals in Yaounde from January, 2009 to February, 2012. It aimed at contributing to the reduction of maternal and foetal mortality. A total of 14174 pregnant women were part of this study. The prevalence rates of unproductive pregnancies were 14.9, 14.5 and 15.4% in 2009, 2010 and 2011, respectively. Stillbirths were the most common type and elective abortions the least frequent. HIV prevalence rates were 10.7% for women who delivered live babies and 10.5% for those who had unproductive pregnancies. HIV was not an influential factor on the outcome of pregnancy, neither on the type of unproductive pregnancy. Among the women with unproductive pregnancies and HIV positive status, 52.4% were unaware of their HIV status. They could have returned home in complete ignorance of their HIV status despite their passage through a hospital. Therefore, it may be important to extend prevention of mother-to-child HIV transmission (PMTCT) to such cases.

 

Key words: Unproductive pregnancies, pregnancy adverse outcomes, human immundeficiency virus (HIV), pregnancy.