Browsing by Author "Mzige,Hamza M."

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    Adverse pregnancy outcomes among HIV-positive women on art before and during pregnancy delivered At Mwananyamala and Amana Hospitals, From December 2018 To July 2019
    (Hubert Kairuki Memorial University, 2019) Mzige,Hamza M.
    Background: Adverse pregnancy outcome among HIV positive women who delivery are those observation in the studies which have shown that HIV infection with associated with varying with rates of stillbirth, perinatal and infants mortality, intra-uterine fetal growth restriction and low birth weight and chorioamnionitis. HIV in pregnancy is a problem that needs special consideration as far as fetal and maternal wellbeing was concerned. Is a major medical problem encountered especially in developing countries including Tanzania and is associated with high morbidities and mortality. It is associated with detrimental fetal outcome especially when the patient has advanced stage of the diseases. (19, 20). Objective: To determine adverse pregnancy outcomes among HIV-positive women delivered at Mwananyamala and Amana Hospitals in Dar es Salaam. Study Design: A Descriptive cross sectional study was used. Study Area: Mwananyamala and Amana Regional Referral Hospitals in Dar es Salaam. Study Population: All HIV positive pregnant women on ART before and during pregnancy, delivery at Mwananyamala and Amana Regional Referral Hospitals in Dar es Salaam. Data Collection and Analysis: The collected data were checked for quality, Coding was done before entering the data into the computer statistical program. Analysis was done. Structured questionnaire was filled. Results: In this study prevalence of adverse pregnancy outcome among HIV pregnancy women on ART was found to be 19.5%; delivery by caesarian section, and 1.24%; by assisted delivery, while 27.02%; had preterm delivery which is higher compared to the study conducted in Tanzania Urban and Rural in 2014 where by the prevalence was 11%. This result was also contrary to the study conducted in Zanzibar prevalence was found to be lower by 3%. Conclusion: This study has found that postnatal women who were started ART during pregnancy were at higher risk of getting newborn with adverse outcome compared to those who started ART before pregnancy.