Caracterización clínica del binomio madre-hijo de recién nacidos hijos de madres con VIH en el Hospital Barrio Obrero, años 2016 al 2021

Introducción : El virus de la inmunodeficiencia humana (VIH) es un miembro de la familia Retroviridae, actualmente agrupado dentro del género Lentivirus. Objetivos: Describir las características clínicas de los recién nacidos hijos de madres con diagnóstico de VIH positivos. Materiales y Métodos : Se realizó un estudio descriptivo, transversal, retrospectivo del binomio madre-hijo de recién nacidos hijos de madres con VIH, internados en el Servicio de Neonatología del Hospital General Barrio Obrero en el periodo comprendido de enero de 2016 a diciembre 2021. Se procedió a la recolección de los datos de las fichas del periodo correspondiente al estudio. Resultados : Un total de 31 individuos (binomios madre-hijo) fueron analizados, la mayoría del sexo masculino, un tercio de los niños nació con bajo o muy bajo peso, se registraron 11 madres con controles prenatales insuficientes o nulo, lo que dio lugar a 5 partos vaginales, éstos sin control prenatal. El motivo de internación fue la hiperbilirrubinemia, la profilaxis recibida por los RN fue monoterapia con Zidovudina. Conclusiones : Esta investigación ha demostrado que a pesar del esfuerzo de los programas de control de VIH y maternos, los niños aún nacen con bajo o muy bajo peso, se observan controles prenatales insuficientes y partos vaginales.

Introduction: The human immunodeficiency virus (HIV) is a member of the Retroviridae family, currently grouped within the Lentivirus genus. Objectives: To describe the clinical characteristics of newborns born to mothers diagnosed with HIV. Materials and Methods: This was a descriptive, cross-sectional and retrospective study of the mother-child pairing of newborns born to mothers with HIV, admitted to the Neonatology Service of the Barrio Obrero General Hospital from January 2016 to December 2021. We proceeded to collect the data from the records of the period corresponding to the study. Results: A total of 31 individuals (mother-child pairs) were analyzed, most of the infants were male, one third of the children were born with low or very low weight, 11 mothers had insufficient or no prenatal care, which resulted in 5 vaginal deliveries in those without prenatal care. The most frequent reason for infant hospitalization was hyperbilirubinemia, the prophylaxis received by the newborns was Zidovudine monotherapy. Conclusions: This research has shown that despite the efforts of the HIV and maternal control programs, children are still born with low or very low weight, we found insufficient prenatal care and vaginal deliveries.

Experiences of Living with HIV: Social Stigma and Discrimination among HIV-Positive Mothers in Southern Thailand

@#Introduction: This paper discusses the lived experience of mothers living with HIV/AIDS in the southern region of Thailand. Methods: We employed semi-structured interviewing and drawing method with 30 HIV-positive mothers. Thematic analysis method was used to analyse the data. Results: Most mothers living with HIV found their HIV status through a blood test service at the Antenatal Care Clinic of local hospitals while some visited the doctors because their partner showed severe symptoms of illness. When they learnt about the infection, they experienced a great shock and feared that illness would be disclosed to others in the community. The women were concerned about keeping HIV secret because they would be blamed by people in locality, labeled as “disgusting” people, and excluded from social networks. Nevertheless, we found that social support played a crucial role in assisting these mothers to cope with their HIV status. Religious beliefs and living positively also helped them to deal with their health conditions. Conclusion: Health care providers should design sensitive programs to promote self-confidence for HIV-positive mothers as this could increase their quality of life. The findings revealed that tangible and emotional support from family members and religious sources, as well as positive thinking, played a significant role in supporting these women to deal with their health and well-being, and negative effect associated with their HIV condition. These can be incorporated into the provision of health care, which would enhance their well-being and reduce the feeling of isolation and discrimination among these vulnerable women.

A Study To Compare The Health Status And Psychosocial Problems Among Hiv Positive And Hiv Negative Children Of Hiv Positive Mothers In Salem District

A survey and descriptive correlational study was undertaken to find out the current health status and psychosocial problems among HIV positive and HIV negative children of HIV positive mothers in Salem District. 300 samples were selected between the age group of 8-12 years. An observational check list was used to assess health status and PedQLinterview schedule questioner was used to assess psychosocial problems. HIV positive children 107(71.3%) had moderate health problems, 43(28.7%) had intense health problems among HIV negative children 106 (70.7%) had normal health 44 (29.3%) had moderate health problems and HIV positive children had more psychosocial problems than HIV negative children. Conclusion of the study shows HIV positive and HIV negative children had health and psychosocial problems at different level, whereas, HIVpositive children had more problems compared to HIVnegative children

Factors that Influence Infant Feeding Options of HIV-Positive Mothers in Urban and Rural Communities in South-East, Nigeria.

Introduction: Infant feeding method decision making is a very vital aspect of child care. This study compares the factors influencing infant feeding options of HIV-positive mothers in urban and rural communities in southeastern Nigeria. Methods: It was a comparative cross-sectional study involving HIV-positive mothers whose babies were HIV-negative, and below 24 months using systematic sampling method. Questionnaires and Focused Group Discussion (FGD) guide were used. Results: About 123(54.7%) urban and 142(64.1%) rural dwellers intended exclusively breastfeeding (p = 0.150), however 88(39.1%) urban and 122(54.2%) rural dwellers actually exclusively breastfed (p = 0.001). The commonest reason for breastfeeding was belief that breast feeding was best for their babies (p = 0.003) while for formula feeding was that it protects the baby from HIV infection (p = 0.044). Family income with occupation for rural communities (p = 0.01, and p = 0.03 respectively) and family income for urban (p = 0.01) were significantly associated with infant feeding options. The FGD identified that disclosure of their HIV status to their husbands or relations helped the mothers in both communities maintain their feeding options. Conclusions: Infant feeding practices differed significantly between communities. Family incomes and occupation were factors influencing feeding options.

Infant Feeding Practices among HIV-Positive Women in Enugu, Nigeria.

Background: Preventing transmission of HIV from mother to child after birth is one of the greatest challenges in HIV prevention. Aim: To evaluate the infant feeding practices among HIV-positive mothers and the factors that influenced their decisions at the University of Nigeria Teaching Hospital, Enugu, Nigeria. Methods: This was a questionnaire based cross-sectional study carried out at the paediatric HIV follow-up clinic between 1st January and 31st March 2014. Analysis was carried out using SSPS version 10.0 (Chicago IL, USA). P values less than 0.05 were considered significant. Results: Fifty four HIV-Positive mothers were evaluated. The mean (standard deviation) for age of the respondents was 29.7 (4.2) years. Thirty two respondents (59.3%) practiced replacement feeding, 14(29.9%) practiced mixed feeding while 8(14.8%) practiced exclusive breast feeding. Of the mothers that practiced mixed feeding, 10(71.4%) did not receive counseling on infant feeding practices. Replacement feeding was adopted by 27 (84.4%) of respondents for fear of transmission of HIV to their children. Disclosure of status and counseling were independently significantly associated with the adoption of recommended infant feeding methods (EBF and RF) P<0.05. Conclusion: Exposure to counseling on infant feeding methods was low. Current guidelines on infant feeding methods should be disseminated through structured counseling sessions at Maternity care centres for HIV-positive mothers.

Auditory disorders and acquisition of the ability to localize sound in children born to HIV-positive mothers

The objective of the present study was to evaluate children born to HIV-infected mothers and to determine whether such children present auditory disorders or poor acquisition of the ability to localize sound. The population studied included 143 children (82 males and 61 females), ranging in age from one month to 30 months. The children were divided into three groups according to the classification system devised in 1994 by the Centers for Disease Control and Prevention: infected; seroreverted; and exposed. The children were then submitted to audiological evaluation, including behavioral audiometry, visual reinforcement audiometry and measurement of acoustic immittance. Statistical analysis showed that the incidence of auditory disorders was significantly higher in the infected group. In the seroreverted and exposed groups, there was a marked absence of auditory disorders. In the infected group as a whole, the findings were suggestive of central auditory disorders. Evolution of the ability to localize sound was found to be poorer among the children in the infected group than among those in the seroreverted and exposed groups.