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Neglect of attention to reproductive health in women with HIV infection: contraceptive use and unintended pregnancies in the Swiss HIV Cohort Study.
Aebi-Popp, K; Mercanti, V; Voide, C; Nemeth, J; Cusini, A; Jakopp, B; Nicca, D; Rasi, M; Bruno, A; Calmy, A; Martinez de Tejada, B.
Afiliación
  • Aebi-Popp K; Department of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Mercanti V; Department of Obstetrics and Gynecology, Faculty of Medicine, University Hospitals of Geneva, Geneva, Switzerland.
  • Voide C; Infectious Diseases Division, University Hospital Centre of the canton of Vaud, Lausanne, Switzerland.
  • Nemeth J; Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Zurich, Zurich, Switzerland.
  • Cusini A; Department of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
  • Jakopp B; Department of Infectious Diseases, Cantonal Hospital, Aarau, Switzerland.
  • Nicca D; Department of Nursing Science, University of Basel, Basel, Switzerland.
  • Rasi M; Department of Infectious Diseases, Cantonal Hospital, St Gallen, Switzerland.
  • Bruno A; Department of Infectious Diseases, Regional Hospital, Lugano, Switzerland.
  • Calmy A; Infectious Diseases Division, Department of Internal Medicine, Faculty of Medicine, University Hospitals of Geneva, Geneva, Switzerland.
  • Martinez de Tejada B; Department of Obstetrics and Gynecology, Faculty of Medicine, University Hospitals of Geneva, Geneva, Switzerland.
HIV Med ; 19(5): 339-346, 2018 05.
Article en En | MEDLINE | ID: mdl-29336516
OBJECTIVES: Women with HIV infection are mainly of reproductive age and need safe, effective and affordable contraception to avoid unintended pregnancies. The aim of this study was to evaluate contraceptive use and unintended pregnancies in this population in Switzerland. METHODS: A self-report anonymous questionnaire on contraceptive methods, adherence to them, and unintended pregnancies was completed by women included in the Swiss HIV Cohort Study (SHCS) between November 2013 and June 2014. Sociodemographic characteristics and information related to combined antiretroviral therapy and HIV disease status were obtained from the SHCS database. RESULTS: Of 462 women included, 164 (35.5%) reported not using any contraception. Among these, 65 (39.6%) reported being sexually active, although 29 (44.6%) were not planning a pregnancy. Of 298 women using contraception, the following methods were reported: condoms, 219 (73.5%); oral hormonal contraception, 32 (10.7%); and intrauterine devices, 28 (9.4%). Among all women on contraception, 32 (10.7%) reported using more than one contraceptive method and 48 (16%) had an unintended pregnancy while on contraception (18, condoms; 16, oral contraception; four, other methods). Of these, 68.1% terminated the pregnancy and almost half (43.7%) continued using the same contraceptive method after the event. CONCLUSIONS: Family planning needs in HIV-positive women are not fully addressed because male condoms remained the predominant reported contraceptive method, with a high rate of unintended pregnancies. It is of utmost importance to provide effective contraception such as long-acting reversible contraceptives for women living with HIV.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Anticonceptivos / Embarazo no Planeado / Utilización de Medicamentos / Investigación sobre Servicios de Salud Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Europa Idioma: En Revista: HIV Med Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2018 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Anticonceptivos / Embarazo no Planeado / Utilización de Medicamentos / Investigación sobre Servicios de Salud Tipo de estudio: Clinical_trials / Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Europa Idioma: En Revista: HIV Med Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2018 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Reino Unido