Publication: Evaluating programs to prevent mother-to-child HIV transmission in two large Bangkok hospitals, 1999-2001
Issued Date
2005-02-01
Resource Type
ISSN
15254135
Other identifier(s)
2-s2.0-19944432979
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Acquired Immune Deficiency Syndromes. Vol.38, No.2 (2005), 208-212
Suggested Citation
Achara Teeraratkul, R. J. Simonds, Suvanna Asavapiriyanont, Amphan Chalermchokcharoenkit, Nirun Vanprapa, Tawee Chotpitayasunondh, Philip A. Mock, Natapakwa Skunodum, Kanchana Neeyapun, Bongkoch Jetsawang, Mary Culnane, Jordan Tappero Evaluating programs to prevent mother-to-child HIV transmission in two large Bangkok hospitals, 1999-2001. Journal of Acquired Immune Deficiency Syndromes. Vol.38, No.2 (2005), 208-212. doi:10.1097/00126334-200502010-00013 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/17083
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Evaluating programs to prevent mother-to-child HIV transmission in two large Bangkok hospitals, 1999-2001
Abstract
The 2 largest maternity hospitals in Bangkok implemented comprehensive programs to prevent mother-to-child HIV transmission in 1998. We conducted a cross-sectional survey of postpartum HIV-infected women in 1999 through 2001 to evaluate these programs. Women were given structured interviews at 0 to 3 days, 1 month, and 2 months postpartum. Medical records of women and their newborns were reviewed. Of 488 enrolled women, 443 (91%) had antenatal care: 391 (88%) at study hospitals and 52 (12%) elsewhere. The HIV diagnosis was first known before pregnancy for 61 (13%) women, during pregnancy for 357 (73%) women, during labor for 22 (5%) women, and shortly after delivery for 48 (10%) women. Antenatal zidovudine (ZDV) was used by 347 (71%) women, and intrapartum ZDV was used by 372 (76%) women. Twelve (55%) of the 22 women who first learned of their HIV infection during labor took intrapartum ZDV. All 495 newborn infants started prophylactic ZDV; the first dose was given within 12 hours for 491 (99%) children. Ten (2%) children were breast-fed at least once by their mother, and 10 (2%) were breast-fed at least once by someone else. Although uptake of services was high, inconsistent antenatal care, fear of stigmatization, and difficulty in disclosing HIV status prevented some women from using services.