Author(s)

Mahamadou Diassana¹, Ballan Macalou¹, Sitapha Dembele¹, A. Sidibe², M. Diallo², Soumana Oumar Traore³, Cheickna Sylla^4*, Amadou Bocoum⁴, Ibrahima Teguete⁴, Youssouf Traore⁴

¹Obstetrics and Gynecology Department at Fousseyni DAOU Hospital, Kayes, Mali.
²Kayes Reference Health Centre, Kayes, Mali.
³Reference Health Centre in Bamako Commune V, Bamako, Mali.
⁴Department of Obstetrics and Gynecology at Gabriel Toure University Hospital, Bamako, Mali.

Purpose: The purpose of this study was to determine HIV prevalence among participants admitted to the delivery room and recent birth attendants. Materials and Methods: This was a descriptive, cross-sectional, analytical study, with a prospective collection from February 1, 2018 to January 31, 2019 at fousseyni Daou Hospital in Kayes, Mali. Results: During our study period, we recorded 4269 deliveries. HIV-positive patients known before labour accounted for 0.21%. Four hundred and six participants received counselling/testing in the delivery room; of which 36 refused the test: 8.87% and 370 accepted or 91.13%. Thirteen patients tested positive or 3.51%. The 20 - 35 age group was the most represented at 76.92%. Positive patients tested received ARV treatment in the delivery room in 92.31% of cases; and 1 patient or 7.69% did not receive treatment for refusal. Vaginal delivery was the most common at 77%, with caesarean section 23%. Newborns had a good prognosis in their first weeks of life in 85%; fetal lethality was observed in 15% of newborns including 1 case of fresh stillbirth and 1 case of pediatric deaths for neonatal suffering. Conclusion: Counselling and voluntary HIV/AIDS testing during labour and immediate postpartum can detect many pregnant women who escape screening during antenatal consultations.

Screening, HIV/AIDS, Parturients, Delivery Room

Diassana, M. , Macalou, B. , Dembele, S. , Sidibe, A. , Diallo, M. , Traore, S. , Sylla, C. , Bocoum, A. , Teguete, I. and Traore, Y. (2021) HIV/AIDS Screening in the African Birthplace (Hospital in Kayes, Mali). Open Journal of Obstetrics and Gynecology, 11, 279-287. doi: 10.4236/ojog.2021.113027.