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Preconception and Contraceptive Care for Women Living with HIV
Journal article   Open access   Peer reviewed

Preconception and Contraceptive Care for Women Living with HIV

Mary Jo Hoyt, Deborah S. Storm, Erika Aaron and Jean Anderson
Infectious diseases in obstetrics and gynecology, v 2012, 604183
01 Jan 2012
DOI: https://doi.org/10.1155/2012/604183
PMID: 23097595
url
http://downloads.hindawi.com/journals/idog/2012/604183.pdfView
Published, Version of Record (VoR) Open
url
https://doi.org/10.1155/2012/604183View
Published, Version of Record (VoR) Open

Abstract

Review
Women living with HIV have fertility desires and intentions that are similar to those of uninfected women, and with advances in treatment most women can realistically plan to have and raise children to adulthood. Although HIV may have adverse effects on fertility, recent studies suggest that antiretroviral therapy may increase or restore fertility. Data indicate the increasing numbers of women living with HIV who are becoming pregnant, and that many pregnancies are unintended and contraception is underutilized, reflecting an unmet need for preconception care (PCC). In addition to the PCC appropriate for all women of reproductive age, women living with HIV require comprehensive, specialized care that addresses their unique needs. The goals of PCC for women living with HIV are to prevent unintended pregnancy, optimize maternal health prior to pregnancy, improve maternal and fetal outcomes in pregnancy, prevent perinatal HIV transmission, and prevent HIV transmission to an HIV-uninfected sexual partner when trying to conceive. This paper discusses the rationale for preconception counseling and care in the setting of HIV and reviews current literature relevant to the content and considerations in providing PCC for women living with HIV, with a primary focus on well-resourced settings.

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28 citations in Scopus

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