EACS2023: 533 A survey report on the acceptance of vaginal delivery among HIV-infected pregnant women in Japan (especially about the impact of the role of midwives) K. Hayashi , M. Deguchi , Y. Hasuo , H. Gomibuchi , M. Sadatuki , H. Sugino , M. Nakanisi , Y. Nakanisi , M. Nakano , C. Hasiba , T. Kita , National Cooperative Study Group on Prevention of Vertical Transmission of HIV-1 in Japan Kanmon Medical Center, National Hospital Organization, Ob/Gyn, Shimonoseki, Japan, Kobe University. School of Medicine, Department of Community Medicine and Health Science, Ob/Gyn, Kobe, Japan, Kyusyu Medical Center, National Hospital Organization, Fukuoka, Japan, Yoshida OG/GYN Clinic, Tokyo, Japan, National Center for Child Health and Development, Tokyo, Japan, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan, Nagoya Medical Center, National Hospital Organization, Nagoya, Japan, Yokohama General Hospital, Yokohama, Japan, Nagoya Medical Center, National Hospital Organization, Nagoya, Japan, Nara Prefectual General Medical Center, Nara, Japan General data Abstract category: Access and delivery of care Abstract body Purpose: In Japan, transvaginal delivery is now an option for the mode of delivery of HIV-infected pregnant women since the guidelines published on Mar.2018. But the acceptance of perinatal facilities is very limited. The role of midwives is considered important as a reason for this, and the purpose of this study was to conduct and examine a questionnaire survey. Method: Questionnaires were sent by mail to young, mid-career, and experienced midwives at 104 facilities that were able to accept HIV-infected pregnant women. The content of the questionnaire was developed with a focus on attitudes toward vaginal delivery in terms of the mode of delivery of HIV-infected pregnant women. Results: Vaginal delivery in HIV-infected pregnant women requires more midwifery manpower than cesarean section. There is still a strong sense of uneasiness in dealing with HIV-infected pregnant women, and the more experienced midwives became, the more polarized they became in favor of cesarean sections and vaginal births. Conclusions: The number of HIV-infected pregnant women in Japan is about 30-40 per year, and medical staff, including midwives, have very limited experience in treating HIV-infected pregnant women. Therefore, there is deep-seated anxiety in dealing with HIV-infected pregnant women, and it was found that the more experienced midwives are, the more polarized they are in favor of C-sections and vaginal deliveries. Also, it was also found that vaginal delivery of HIV-infected pregnant women requires more midwives' manpower than cesarean section, but it is not realistic to perform vaginal delivery of HIV-infected pregnant women evenly in Japan, where the consolidation of deliveries has not yet progressed. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 2 3 4 5 6 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 24 19TH EUROPEAN AIDS CONFERENCE | WARSAW 2023
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