RESUMEN
Background: Our study is planned to note the outcome ofpregnancy of the women detected as HIV positive in thePPTCT program as well as to have an evaluation of thePPTCT program in our institute since the initiation of thisprogramme in 2005.Materials & Methods: The present study was carried out inthe department of Obstetrics and Gynaecology, Umaid Hospitalattached to Dr. S. N. Medical College, Jodhpur. The data overthis period were analyzed. As per the strategy and policyprescribed by NACO, tests (E/R/S) were performed on theserum samples. Those found HIV positive went for confidentialpost-test information and counselling regarding throughintimation about the vertical transmission and importance oftheir institutional deliveries.Results: Our study observed that out of the total deliveredbabies of seropositive women 95.31% were live births, 3.90%were IUD babies and one was still birth. Out of the totaldelivered babies 64 i.e. 52.45% had physiological jaundice,35 i.e. 28.68% had acute diarrheal disease, 2 i.e. 1.63% hadoral thrush, 20 i.e. 16.93% had URI, 2 i.e. 1.63% had ServerSepticaemia, 9 babies i.e. 7.37 % expired in neonatal periodand another 9 expired after one month.Conclusion: PPTCT programs are feasible in Governmenthospital were resources are limited. Rural pregnant women arereceptive to voluntary counselling and testing.
RESUMEN
Background: Over the years, single dose Nevirapine has been the cornerstone of the PPTCT program in India. However after successful scale up of ART program, initiation of ART for the pregnant was also considered another means of reducing the risk of transmission of HIV. As there were no specific studies to demonstrate the advantages of full-course ART during pregnancy compared to single dose Nevirapine, the current study was undertaken. Objectives: To study the socio-demographic variables, effectiveness of the different interventions and factors affecting the interventions among the PPTCT program beneficiaries. Materials and Methods: As part of the retrospective cohort study the details of the HIV positive pregnant women registered at four ICTCs of Andhra Pradesh were analyzed in two groups (Nevirapine and ART). Results: Total 145 pregnant women were studied and among them, 3.4% opted for MTP, 66.2% had live-birth and 60% had normal vaginal delivery. Upon testing for HIV at 18 months, 35% babies were HIV reactive in the Nevirapine group, 17.6% babies were HIV reactive in the ART group. Interpretation & Conclusion: The findings from the present study showed higher protection among babies with mothers on ART before delivery, compared to those with single dose Nevirapine.