[The risk of vertical transmission of HIV--the knowledge of gynaecologists and midwives]

Ginekol Pol. 2008 Dec;79(12):862-6.
[Article in Polish]

Abstract

Aim: The aim of the study was to assess the knowledge of gynaecologist and midwives concerning the risk of vertical transmission of HIV.

Material and methods: Anonymous questionnaires have been filled in by thirty gynaecologists/obstetricians and thirty midwives who work at hospital wards and ambulatory gynaecological surgeries in Białystok.

Results: When asked about chances of an HIV positive woman, aware of her infection, giving birth to a healthy baby, only 3 doctors (10%) and 4 midwives (13.3%) provided the correct answer, namely that such chances exceed 98%. Natural delivery was considered safer for the baby by 12 doctors (36.7%) and 7 (23.3%) midwives. The others chose elective caesarean section as the preferred mode of delivery. Twenty-five doctors (13.3%) and 23 midwives (76.7%) were aware that HIVinfected women should not breast-feed. Four doctors (13.3%) and 6 midwives (20.0%) favoured breast-feeding. Only 7 doctors (23.3%) and 9 midwives (30.0%) knew that the diagnosis whether a child is infected or not, based on anti-HIV antibodies, is possible only after the child reaches the age of 18 months.

Conclusions: Being aware of the limitations of our study, it is possible to formulate the following conclusion: Knowledge of gynaecologists/obstetricians and midwives about possibilities of HIV vertical transmission is insufficient for effective transmission prophylaxis.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Clinical Competence
  • Female
  • Gynecology / statistics & numerical data*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infectious Disease Transmission, Vertical / prevention & control*
  • Male
  • Middle Aged
  • Midwifery / statistics & numerical data*
  • Poland
  • Pregnancy
  • Pregnancy Complications, Infectious / prevention & control*
  • Prenatal Care / statistics & numerical data
  • Surveys and Questionnaires