title: [Evaluation of midwives' practices for the prevention of mother-to-child transmission of hepatitis B in Abidjan (Ivory Coast)].
abstract: Prevention of mother-to-child transmission of hepatitis B virus (HBV) assumes and requires good practices by midwives. The objective of this study was to evaluate their practices for this prevention.
  
  
  METHODS
  This prospective, descriptive study in Abidjan took place from January 2 to May 31, 2014 and included the midwives in Abidjan (recruited from university hospitals, general hospitals, and peripheral health care facilities) at the time of the survey who agreed to complete this written survey. Univariate analyses were done with Pearson Chi 2 tests or Fisher's test, as appropriate, P<0.05 was defined as significant.
  
  
  RESULTS
  The study included 197 of the 220 midwives approached (89.5%), 88 (44.6%) of whom worked in the university hospital delivery rooms. Overall, 59% performed HBsAg tests during the second trimester, and 47.72% vaccinated newborns of HBsAg-positive mothers at birth. Hospital-based midwives had the best prevention practices, including HBsAg testing (P = 0.023) and immunization of the newborn at birth (P = 0.005).
  
  
  CONCLUSIONS
  Midwives' practices for the prevention of mother-to-child transmission of HBV in Abidjan are improving.
authors.affiliation: Service gastro-entérologie, CHU Campus de Lomé, 15 BP 110, Lomé, Togo, Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Bagny
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: F
authors.initials: F
authors.lastname: Bathaix Yao
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: D
authors.initials: D
authors.lastname: Bangoura
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: D H
authors.initials: DH
authors.lastname: Kouame
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: H
authors.initials: H
authors.lastname: Kacou Ya Kissi-Anzouan
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: O
authors.initials: O
authors.lastname: De
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: K
authors.initials: K
authors.lastname: Diallo
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: L M
authors.initials: LM
authors.lastname: Lawson-Ananisoh
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: K A
authors.initials: KA
authors.lastname: Mahassadi
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Attia Koffi
authors.affiliation: Service gastro-entérologie, CHU Yopougon, BP 110, Abidjan, Côte d'Ivoire.
authors.forename: T
authors.initials: T
authors.lastname: Ndri-Yoman
mesh_terms: D000328:Adult; D007560:Cote d'Ivoire; D005260:Female; D006509:Hepatitis B / Q000517:prevention & control* / Q000635:transmission*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D008880:Midwifery; D057184:Practice Patterns, Nurses'; D011446:Prospective Studies
keywords: Ivory Coast; hepatitis B vaccine; midwife; neonatal immunization