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目的了解部分HIV阳性产妇未能实施PMTCT措施的原因,分析影响因素,为全面落实PMTCT各项干预措施提供参考依据。方法通过对47例HIV阳性产妇助产机构或本人的追踪回访,回顾性调查影响PMTCT措施落实的各种原因。结果急产、产妇及家人拒绝是影响PMTCT各项措施落实的重要原因。结论加强孕期保健与检测,前移HIV检测关口,加大预防艾滋病母婴传播宣传力度,动员阳性产妇到定点医疗机构分娩,联合清理PMTCT工作盲点,可有效落实PMTCT各项干预措施。
Objective To understand the reasons why some HIV-positive mothers failed to implement PMTCT measures, analyze the influencing factors, and provide a reference for the full implementation of PMTCT interventions. METHODS: A retrospective survey of 47 HIV-positive mothers’ midwifery institutions or their follow-up visits was conducted to investigate various causes of PMTCT implementation. The results of emergency delivery, mothers and their family refused to affect the implementation of PMTCT various measures an important reason. CONCLUSION: PMTCT interventions can be effectively implemented by strengthening the health care and testing during pregnancy, advancing the HIV testing threshold, strengthening the prevention and control of mother-to-child transmission of AIDS, mobilizing the mothers to deliver to the designated medical institutions, and jointly cleaning up the PMTCT work blind spots.