Original Research Article
Year: 2019 | Month: December | Volume: 9 | Issue: 12 | Pages: 1-9
Evaluation of Seroprevalence and Factors Associated With the Portage of HBsAg in Pregnant Women in Rural Vanga and Semi-Urban Maluku
Charles Mbendi Nlombi1, Aliocha Nkodila Natuhoyila2, Miclaire Mbombo Tudiakuilayi3, Marcel Kamba Luendu3, Sébastien Mbendi Nsukini1, Moustapha Moulay Ennaji5, Benjamin Longo Mbenza4
1Service of Gastroenterology, Internal Medicine, University Clinic of Kinshasa, DRC
2City Des Aveugles Medical Center, Mount Ngafula, DRC
3Hospital Doctor, DRC
4Cardiology Service, Internal Medicine, University Clinic of Kinshasa, DRC
5Faculty of Sciences and Techniques Mohammedia Hassan II University of Casablanca, Morocco
Corresponding Author: Aliocha Nkodila Natuhoyila
ABSTRACT
Context and objective: The diagnosis of viral hepatitis during pregnancy raises the problem of its seriousness in women but also fetal risk and mother-to-child transmission. The objective of this study was to determine the HBsAg screening rate and risk factors associated with HBs Ag transmission among pregnant women in semi-urban and rural areas of the Democratic Republic of Congo.
Methods: Cross-sectional study of 152 pregnant women conducted from June 29, 2017 to April 28, 2018, having consulted the Gynecology and Obstetrics service of two medical units, one in the semi-urban environment of the city of Kinshasa and the other in the middle rural, chosen in a random way. HBsAg was wanted by a rapid test. The analysis was done with SPSS 22. A multivariate logistic regression model was used to search for risk factors for HBV at the p <5% threshold.
Results: The mean age was 26.3 ± 7.1 years. The frequency of HBsAg was 15.8%. The risk factors associated with HBsAg were non-condom use (aOR: 2.26), transfusion (aOR: 3.49), multiple sexual partner (aOR: 2.39) and number of Risque Factor > 4 (aOR: 2.44).
Conclusion: The frequency of HBsAg in pregnant women in the DRC is high. The national system of management and risk prevention factors for hepatitis B in pregnant women need to be strengthened.
Key words: HBsAg, Risk factors, Pregnant woman, DRC