Abstract：Objective To study the delivery complications and outcomes of different delivery modes of pregnant women with human immunodeficiency virus (HIV) infection. Methods A total of 106 pregnant women with HIV infection admitted to Liuzhou Maternity and Child Health Care Hospital, Guangxi Zhuang Autonomous Region from January 2018 to January 2020 were selected. According to different delivery modes, they were divided into observation group (caesarean section, 50 cases) and control group (vaginal delivery, 56 cases). The levels of stress factors (plasma norepinephrine [NE], serum cortisol [Cor], and angiotensin Ⅱ [AngⅡ] ) were compared between two groups at 12 h after delivery and before delivery; the duration of labor, delivery complications and adverse pregnancy outcomes were compared between two groups; Apgar score at 1, 3 min, and 5 min after delivery and birth weight were compared between two groups. Results At 12 h postpartum, the levels of NE, Cor, and AngⅡin two groups were higher than those before delivery, and observation group was higher than control group, and the differences were statistically significant (P < 0.05). The total delivery time in observation group was shorter than that in control group, and the difference was statistically significant (P < 0.05). The total incidence of delivery complications in observation group was higher than that in control group, and the difference was statistically significant (P ＜ 0.05). The total incidence of adverse pregnancy outcomes in observation group was lower than that in control group, and the different was statistically significant (P ＜ 0.05). Apgar scores of 3 and 5 min after delivery in two groups were lower than those of 1 min after delivery; Apgar scores of 5 min after delivery in two groups were lower than those of 3 min after delivery, and the differences were statistically significant (P < 0.05). Apgar scores of 1, 3 min, and 5 min after delivery showed no significant difference between two groups (P > 0.05). Conclusion Vaginal delivery can reduce the stress response and delivery complications of pregnant women with HIV infection, but the cesarean section can shorten the delivery time and reduce the risk of neonatal HIV infection.
吴 蔚 石越 吴宇碧▲. 妊娠期合并HIV感染产妇不同分娩方式的分娩并发症及结局观察[J]. 中国医药导报, 2021, 18(32): 100-103,116.
WU Wei SHI Yue WU Yubi▲. Observation on delivery complications and outcomes of different delivery modes of pregnant women with HIV infection#br#. 中国医药导报, 2021, 18(32): 100-103,116.
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