Self-Reported Preconception Care of HIV-Positive Women of Reproductive Potential : A Retrospective Study

© The Author(s) 2013..

OBJECTIVES: We determined the proportion and correlates of self-reported pregnancy planning discussions (that is preconception counseling) that HIV-positive women reported to their family physicians (FPs), HIV specialists, and obstetrician/gynecologists (OB/Gyns).

METHODS: In a cross-sectional substudy, HIV-positive women of reproductive potential were asked whether their care providers discussed pregnancy planning. Logistic regression was used to calculate odds ratios for the correlates of preconception counseling.

RESULTS: A total of 431 eligible participants (median age 38, interquartile range = 32-43) reported having discussion with a physician (92% FP, 96% HIV specialists, and 45% OB/Gyns). In all, 34%, 41%, and 38% had their pregnancy planning discussion with FP, HIV specialist, and Ob/Gyns, respectively; 51% overall. In the multivariable model, significant correlates of preconception counseling were age (P = .02), marital status (P < .01), number of years living in Canada (P < .001), and age of youngest child (P < .01).

CONCLUSIONS: Preconception care in our cohort was suboptimal. We recommend that counseling on healthy preconception should be part of routine HIV care.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of the International Association of Providers of AIDS Care - 13(2014), 5 vom: 05. Sept., Seite 424-33

Sprache:

Englisch

Beteiligte Personen:

Loutfy, Mona R [VerfasserIn]
Blitz, Sandra [VerfasserIn]
Zhang, Yimeng [VerfasserIn]
Hart, Trevor A [VerfasserIn]
Walmsley, Sharon L [VerfasserIn]
Smaill, Fiona M [VerfasserIn]
Rachlis, Anita R [VerfasserIn]
Yudin, Mark H [VerfasserIn]
Angel, Jonathan B [VerfasserIn]
Ralph, Edward D [VerfasserIn]
Tharao, Wangari [VerfasserIn]
Raboud, Janet M [VerfasserIn]
Ontario HIV Fertility Research Team [VerfasserIn]

Links:

Volltext

Themen:

HIV
Journal Article
Preconception care
Programming
Quality of care indicator
Women

Anmerkungen:

Date Completed 17.01.2018

Date Revised 02.12.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/2325957413494238

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM229777228