Publication Cover
AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 20, 2008 - Issue 9
250
Views
16
CrossRef citations to date
0
Altmetric
ORIGINAL ARTICLES

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

, , , , , , & show all
Pages 1111-1118 | Received 10 May 2007, Published online: 29 Sep 2008
 

Abstract

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<0.001). Repeat pregnancies were more likely to occur for women who did not disclose their HIV status to their spouse. Thus the majority of the repeat pregnancies for HIV-positive women were both unplanned and unwanted.

Acknowledgements

This study was supported by a grant from the US National Institutes of Health (NIH, NIAID) (R01 AI45 462) and undertaken in collaboration with BJ Medical College in India. These data have been presented in part in the following oral presentation: ‘Repeat Pregnancy in HIV-positive women in India’ at the XVI International AIDS Conference 2006 at Toronto. This presentation was supported by a grant from Fogarty AITRP.

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 53.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 464.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.