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dc.contributor.authorMirkuzie, Alemnesh Hailemariameng
dc.contributor.authorHinderaker, Sven Gudmundeng
dc.contributor.authorSisay, Mitike Mollaeng
dc.contributor.authorMoland, Karen Marieeng
dc.contributor.authorMørkve, Oddeng
dc.date.accessioned2012-02-13T11:07:42Z
dc.date.available2012-02-13T11:07:42Z
dc.date.issued2011-06eng
dc.identifier.citationJournal of Public Health and Epidemiology 3(6): 275-283en
dc.identifier.issn2141-2316eng
dc.identifier.urihttp://hdl.handle.net/1956/5604
dc.description.abstractDespite the importance of safe obstetric practice in reducing mother-to-child HIV transmission and adverse perinatal outcomes, little is known about access to intrapartum obstetric care for HIV positive women. A cohort of HIV positive women were followed to assess the rate of intrapartum transfers and associated adverse outcomes in Addis Ababa. Overall, 282 HIV positive pregnant women were followed, 75% gave birth at Emergency Obstetric and Neonatal Care facilities, 42% of them transferred between health facilities during the intrapartum period and 36% were transferred two or more times. Sixty four percent of the first time transfers were due to obstetric complications, while all subsequent transfers were due to practical constraints. Women in their second pregnancy were less likely (OR 0.3 95% CI 0.2- 0.6) to be transferred than women in their first pregnancy. Transferred women experienced more stillbirths than women who were not transferred. The rate of stillbirths was not significantly associated with the syphilis test result, the CD4 count and initiating antiretroviral therapy. There appeared to be serious challenges within the health care system compromising the intrapartum care for our participants and increasing the risk of stillbirth and MTCT. Undue transfers during the intrapartum period should be addressed at all levels of the health care system.en
dc.language.isoengeng
dc.publisherAcademic Journalseng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/5605" target="blank">Successes and challenges of the national programme for the prevention of mother-to-child HIV transmission (PMTCT) in Addis Ababa, Ethiopia. Implementation and impact</a>eng
dc.rights.urihttp://www.academicjournals.org/journals.htmeng
dc.subjectEmONCeng
dc.subjectintrapartumeng
dc.subjectMTCTeng
dc.subjectPMTCTeng
dc.subjectStillbirtheng
dc.subjectTransfereng
dc.titleA cohort study on obstetric care for HIV positive women in Addis Ababa: Intrapartum transfers and associated delayseng
dc.typeJournal articleeng
dc.subject.nsiVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Communicable diseases: 776eng
dc.subject.nsiVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801eng
dc.rights.holderCopyright 2011 Academic Journals
dc.type.versionpublishedVersioneng
dcterms.isPartOfhttp://hdl.handle.net/1956/5605


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