Barbacci M, Chaisson R, Anderson J, Horn J; International Conference on AIDS.
Int Conf AIDS. 1989 Jun 4-9; 5: 223 (abstract no. M.B.P.10).
Johns Hopkins University, Baltimore, Maryland, USA
OBJECTIVE: To describe pregnancy decisions among 89 HIV+ women attending clinics at the Johns Hopkins Hospital. METHODS: Retrospective review of pregnancy decisions from records of 89 HIV+ women: 34 women seeking prenatal care and 55 women attending an HIV infection clinic for women. RESULTS: Mean age of women 24.5 years (range 19-38 years). 80% black, 18% white, 2% other. Risk factors for HIV infection: 40% intravenous drug use (IVDU), 23% IVDU sexual partner, 11% transfusion, 4% bisexual or HIV+ partner, 2% prostitution. 76/89 (89%) had previously been pregnant with 60% having greater than or equal to 2 living children. Seropositivity was discovered in 36(40%) women during pregnancy, 10 of whom were identified less than or equal to 20 weeks gestation. Two women had elective abortions (14 and 18 weeks), one had a spontaneous abortion at 12 weeks gestation, and 7 women opted to continue their pregnancies, 6/7 delivering term infants. 14 women (16%) became pregnant after learning they were HIV+. None of these women was using contraception. One woman who delivered a term infant had an elective abortion at 10 weeks of a subsequent pregnancy. The remaining 13 women continued their pregnancies with 12/13 delivering term infants. CONCLUSIONS: Knowledge of HIV infection was not associated with pregnancy termination or prevention of subsequent pregnancy. In light of risk of perinatal transmission and possible acceleration of HIV infection during pregnancy, education, counseling and specialized obstetrical and medical services for women with HIV infection are needed.
Publication Types:
Keywords:
- Abortion, Legal
- Acquired Immunodeficiency Syndrome
- Ambulatory Care Facilities
- Child
- Contraception
- Counseling
- Female
- HIV Infections
- HIV Seropositivity
- Humans
- Infant
- Knowledge
- Pregnancy
- Pregnancy Complications, Infectious
- Pregnancy Outcome
- Prenatal Care
- Prostitution
- Risk Factors
- Substance Abuse, Intravenous
- surgery
Other ID:
UI: 102176863
From Meeting Abstracts