JUSTIFICATION AND DEVELOPMENT OF ALGORITHM FOR PLANNED PARENTHOOD IN HIVSERODISCORDANT COUPLES

Abstract

Work objective: justification and development of algorithm for observation of HIV-serodiscordant couples at the stage of planning parenthood, including using Assisted Reproductive Technologies (ART) in Sverdlovsk region territory. Materials and methods. Statistical data were obtained from the materials of personal registration of people living with AIDS in State Budgetary Healthcare Institution of Sverdlovsk region «Sverdlovsk Regional Center on Prevention and Control of AIDS». 27 thousands of women of reproductive age and 31 thousands of men diagnosed with HIV infection were revealed in the region as of the end of 2018. On the basis of infectious disease department of State Budgetary Healthcare Institution of Sverdlovsk region «Sverdlovsk Regional Center on Prevention and Control of AIDS» a retrospective chart review for HIV-serodiscordant couples planning parenthood was held with using ART or the natural way. Statistical processing of data was carried out using Statistica 6 software. Results and discussion. The results of the survey showed the necessity of observation of HIV-serodiscordant couples from the stage of planning parenthood. Characteristics of partners were described with account for age, epidemiological anamnesis, laboratory parameters and final outcomes of conception with using ART or the natural way. Conclusion. Necessity of development of algorithms for observation of HIV-serodiscordant couples at the stage of planning parenthood was shown as these algorithms allow to determine case follow-up approach with the involvement of infectious disease physician and obstetrician-gynaecologist.