Reproductive and Maternal Healthcare Needs of HIV Infected Women

Overview

Journal Curr HIV/AIDS Rep

Publisher Current Science

Specialty Infectious Diseases

Date 2013 Aug 7

PMID 23918674

Citations 7

Authors

Deborah Jones

Nahida Chakhtoura

Ryan Cook

Affiliations

Soon will be listed here.

Abstract

Advances in HIV treatment and prevention of mother to child transmission have effectively reduced mortality and morbidity for women living with HIV and significantly reduced new infections in infants. Women living with HIV require comprehensive, integrated clinical services to address their reproductive and maternal healthcare needs. Guidelines for safer conception counseling with fertile couples recommend discussing fertility and childbearing, addressing contraception with those not wishing to conceive, and clarification of strategies to conceive for those wishing to do so. Services pre-conception to postpartum should emphasize HIV testing for mother, partner and infant, encourage the maintenance of medication adherence and promote engagement and retention in care, and ensure supportive and non-judgmental patient education by healthcare providers. Behavioral, psychosocial and healthcare factors can have profound effects on pregnancy outcomes, and male involvement and enhanced provider involvement throughout the reproductive process has been recommended to reduce transmission and enhance medication adherence and uptake.

Citing Articles

Womandla Health: development and rationale of a behavioral intervention to support HIV treatment adherence among postpartum women in South Africa.

Pellowski J, Jensen D, Tsawe N, Colvin C, Cu-Uvin S, Operario D BMC Womens Health. 2023; 23(1):649.

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Possible Interdisciplinar Standard for the Care of Pregnant Women Living with HIV-Polish Experience.

Plagens-Rotman K, Merks P, Pisarska-Krawczyk M, Kedzia W, Justyna J, Czarnecka-Operacz M Healthcare (Basel). 2022; 10(10).

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Sexuality and childbearing as it is experienced by women living with HIV in Sweden: a lifeworld phenomenological study.

Carlsson-Lalloo E, Berg M, Mellgren A, Rusner M Int J Qual Stud Health Well-being. 2018; 13(1):1487760.

PMID: 29972346 PMC: 6032009. DOI: 10.1080/17482631.2018.1487760.

Changes in Providers' Self-Efficacy and Intentions to Provide Safer Conception Counseling Over 24 Months.

Goggin K, Hurley E, Wagner G, Staggs V, Finocchario-Kessler S, Beyeza-Kashesya J AIDS Behav. 2018; 22(9):2895-2905.

PMID: 29464428 PMC: 9236185. DOI: 10.1007/s10461-018-2049-x.

The Achilles' heel of prevention to mother-to-child transmission of HIV: Protocol implementation, uptake, and sustainability.

Rodriguez V, LaCabe R, Privette C, Douglass K, Peltzer K, Matseke G SAHARA J. 2017; 14(1):38-52.

PMID: 28922974 PMC: 5638135. DOI: 10.1080/17290376.2017.1375425.

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