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Gynaecological morbidity among HIV positive pregnant women in Cameroon

DOI: 10.1186/1742-4755-5-3

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Two thousand and eight (2008) pregnant women were screened for HIV, lower genital tract infections and lower genital tract neoplasia at booking antenatal visit.About 10% (198/2008) were HIV positive. All lower genital tract infections except candidiasis were more prevalent among HIV positive compared to HIV negative women: vaginal candidiasis (36.9% vs 35.4%; p = 0.678), Trichomoniasis (21.2% vs 10.6%; p < 0.001), gonorrhoea (10.1% vs 2.5%; p < 0.001), bacterial vaginosis (21.2% vs 15.2%; p = 0.026), syphilis (35.9% vs 10.6%; p < 0.001), and Chlamydia trachomatis (38.4% vs 7.1%; p < 0.001). Similarly, HIV positive women more likely to have preinvasive cervical lesions: low-grade squamous intraepithelial lesion (SIL) (18.2% vs 4.4%; p < 0.001) and high-grade squamous intraepithelial lesion (12.1% vs 1.5%; p < 0.001).We conclude that (i) sexually transmitted infections (STIs) are common in both HIV positive and HIV negative pregnant women in Cameroon, and (ii) STIs and preinvasive cervical lesions are more prevalent in HIV-infected pregnant women compared to their non-infected compatriots. We recommend routine screening and treatment of STIs during antenatal care in Cameroon and other countries with similar social profiles.There are three categories of reproductive morbidity – obstetric, gynaecological and contraceptive morbidity. Gynaecological morbidity has been defined as 'any condition, disease or dysfunction of the reproductive system that is not related to pregnancy, abortion or childbirth but may be related to sexual behaviour' [1].Gynaecological conditions are frequent in women infected with Human Immunodeficiency Virus (HIV). Both pregnancy and HIV/AIDS predispose women to certain gynaecological conditions because of modification of the immune system [2,3]. The Centers for Disease Control and Prevention (CDC) classification system for HIV infection includes several gynaecological conditions such as persistent, frequent or poorly responsive episodes of vaginal


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