Objective: Assess the impact of B + option on mother-to-child HIVâ??s transmission\nat the community university hospital center after 4 years of use. Patients\nand methods: This was a retrospective and analytical study from January\n1st 2015 to December 31st 2018 i.e. 4 years. The populationâ??s study was\non HIV-positive mothers and their infants care in the service. Results: A total\nof 323 files of infants born from HIV-positive mothers were selected and\nhaving performed the PCR. 9 of them were HIV positive representing a rate\nof 2.79% mother-to-child HIVâ??s transmission. This prevalence was 1.1% for\nwomen who started ART before and during pregnancy. The average age of\nnewborns was 29 years. Mothers were literally rating in 24.15% during the\nperiod of starting antiretroviral therapy, 63% during pregnancy and 19% before\npregnancy. For the deliveryâ??s way 295 delivered vaginally; they represented\n91.33%. Cesarean delivery was 8.67%. Exclusive breastfeeding represented\n87.31% of the diet. Mothers who started ARV therapy during the labor and\nafter delivery were more likely to transmit HIV to their infants than mothers\nwho started ART before and during pregnancy (p = 0.01). The other risk factors\nwere represented by premature rupture of the membranes (p = 0.0001),\nhours of labor (p = 0.0001), use of suction cup (p = 0.0005), birth weight less\nthan 2500 g (p = 0.00). Conclusion: Mother-to-child HIVâ??s transmission still\nremains a public health problem at the Community University Hospital.
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