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Abstract

BACKGROUND: Sexually transmitted infections especially HIV and HBV significantly contribute to morbidity and mortality in pregnant women and their children especially in sub-Saharan Africa.

OBJECTIVE: This study reviewed the socio-demographic, clinical and obstetric profile of HIV and HBV positive pregnant women attending ANC in Obio Cottage Hospital, Port Harcourt, Nigeria.

METHODOLOGY: A retrospective cross-sectional study which reviewed the records of HIV and HBV positive pregnant women who attended ANC clinic from January 2018 to December 2022. Data was analyzed using SPSS version 26.

RESULTS: A total of 496 pregnant women with a mean age of 31.3 ± 4.9 years were reviewed. Majority, 310 (62.5%) had tertiary level of education and, 266 (53.6%) enrolled in Community Health Insurance Scheme (CHIS). HIV positive only women were 414 (83.5%), HBV positive only 93 (18.8%) and HIV-HBV co-infection 16 (3.2%). The prevalence of low birth weight was 20 (5.5%), macrosomia 28 (26.2%), anaemia at booking 68 (13.7%) and, malaria in pregnancy 25 (5.0%). Increasing age (p = 0.012) and level of education (p < 0.001) were significantly associated with HIV-HBV co-infection. Age (p = 0.026), social class (p = 0.040) and BMI (p = 0.013) showed statistically significant association with anaemia in pregnancy.

CONCLUSION: The majority of the HIV and HBV positive pregnant women were literate, multiparous, of high social class, and over half of them enrolled in CHIS. The co-morbidities identified were mainly anaemia and malaria in pregnancy, and a double burden of low birth weight and macrosomia.

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