Repeated pregnancy among women with known HIV status in Pune, India

HIV-positive women of reproductive age face challenges in decision making related to pregnancy. Understanding factors influencing repeat pregnancies in women with known HIV status are necessary to guide interventions and counseling strategies to better inform and support them. We compared three grou...

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Bibliographic Details
Published in:AIDS care 2008-10, Vol.20 (9), p.1111-1118
Main Authors: Suryavanshi, Nishi, Erande, Ashwini, Pisal, Hemlata, Shankar, Anita V., Bhosale, Ramesh A., Bollinger, Robert C., Phadke, Mrudula, Sastry, Jayagowri
Format: Article
Language:English
Subjects:
Abortion, Induced
Adolescent
Adult
AIDS/HIV
Biological and medical sciences
Cohort Studies
Comparative studies
Contraception
Decision Making
Family
Family Conflict - ethnology
Family Conflict - psychology
Family Planning Services
Female
Fundamental and applied biological sciences. Psychology
Gravidity
Gynecology and obstetrics
Health Knowledge, Attitudes, Practice
HIV
HIV Seronegativity
HIV Seropositivity
HIV-1
Human immunodeficiency virus
Human viral diseases
Humans
India
India - ethnology
Infectious diseases
Kinship
Medical sciences
Pregnancy
Pregnancy Complications, Infectious
Pregnancy, Unwanted
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Sexual behavior
Sexual health
Sexually transmitted diseases
Unplanned pregnancy
Unwanted pregnancy
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Women
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Summary:HIV-positive women of reproductive age face challenges in decision making related to pregnancy. Understanding factors influencing repeat pregnancies in women with known HIV status are necessary to guide interventions and counseling strategies to better inform and support them. We compared three groups of women attending a large antenatal clinic in Pune, India. They include: Group A - 63 HIV-positive women comingfor care for a repeat pregnancy after being diagnosed in a previous pregnancy; Group B - 64 HIV-negative (repeat) pregnant women attendingthis antenatal clinic; and Group C - 63 HIV-positive non-pregnant women currently enrolled in an ongoing clinical trial. Comparisons of Group A and B indicate that the likelihood of unplanned repeat pregnancies was significantly higher in HIV-positive (70%) than HIV-negative (36%) women (OR=4.1, CI: 2.0-8.7). Inability to terminate the pregnancy (31%) and familial obligations (40%) appear to be important for continuing the unplanned repeat pregnancy. Despite high reported contraceptive use by HIV-positive women, pregnancies still occurred. Death of their youngest child is an important factor as 21% of HIV-positive pregnant women lost their youngest child compared with 3% of HIV-negative women and 3% of HIV-positive non-pregnant women (p
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120701842753