The Status Of Growth And The Influence Factors Of The Infant Born To Hiv Infected Pregnant Women

ObjectiveThe nutrition status was evaluated by survey the growth and development of the infants born to the pregnant women with HIV positive, the goal of the evaluation was to formulate the measures in order to improve the health and nutrition level of the infant.MethodsThe study was conducted in the areas where the number of case of HIV/AIDS was more than other areas from January2006to December2009, Infants born to HIV-infected mothers were followed up from their birth to18-months old. Record height, weight, head circumference etc, The index of Z scores of weight for age, height for age, weight for height, were calculated using WHO Anthro2010at birth1,3,6,9,12, and18months of age, The total lymph-cell counts, hemoglobin, CD4+T lymphocytes of the pregnant were test, HIV antibody test of the infant was test in12and18months, The t test and Wilcoxon test were used to evaluate growth and development of the infant, Infant Nutritional status impact factors were analyzed through univariate analysis and multiple logistic regression models, applying SPSS17.0Statistical software.Results1. The height of HIV positive infant was less than HIV negative infant during3～6months (P<0.05) except the9months baby,other months the height are lower than the standard of country (P<0.05) The weight of boy with HIV infection was lower than the national standard during1～3months; the weight of girl was lower the the national standard in several months; the weight of girls with HIV negative was better.2. Compared with the national standard the head circumference value was less than standard in most months; the head circumference value of HIV negative boys in 1,6months were less than WHO standard; The head circumference of HIV positive baby girl in3months was less than WHO standards(P<0.05), The head circumference of HIV negative baby girl in3,9months were less than WHO standards(P<0.05).3. the emaciation of HIV negative infants was the highest in6th months, about8.5%, the low weight incidence is the highest in the3th months, about17.1%, the growth retardation is the highest in lth months, about30.5%; the incidence of emaciation and low weight is more higher in the lth were15%,30%, the incidence of growth retardation is the highest, about41.7%; the incidence of emaciation between two groups had no statistically significant(P>0.05), the low weight of HIV negative is less than the infants of the HIV positive, the growth retardation of HIV negative is less than the infant of HIV positive in the6th,12th, and18th months(P <0.05), the difference other months had no statistically significant (P>0.05).4.61%of HIV positive pregnant have symptoms of anemia,82.2%of the months of add assist food was later than4months;73.3%of the infant dead in less than12months;66.7%of the cause of death was pneumonia.Conclusion1. The nutrition of the infants born to HIV positive women was more worse, the length, weight, head circumference of HIV positive infant was poorer.2. The artificial feeding was adopted to the HIV positive women, but the malnutrition of the infant is more higher, especially the HIV positive infant.3. Whether anemia,HARRT to infants, the months of add assist food were the factors can influence the malnutrition of the infant.