Full Length Research Paper
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.
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