Correlates of unintended pregnancies among HIV+ women
Introduction: Pregnancies among HIV-positive women can lead to adverse maternal and child outcomes with added negative impact on the health system. This study intended to explore the correlates of unintended pregnancies among HIV-positive women. Methodology: After obtaining written informed consent,...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-06-01
|
| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jfmpc.jfmpc_1884_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849420823441440768 |
|---|---|
| author | Yalamanchili Padmasri Soumya Varanasi |
| author_facet | Yalamanchili Padmasri Soumya Varanasi |
| author_sort | Yalamanchili Padmasri |
| collection | DOAJ |
| description | Introduction:
Pregnancies among HIV-positive women can lead to adverse maternal and child outcomes with added negative impact on the health system. This study intended to explore the correlates of unintended pregnancies among HIV-positive women.
Methodology:
After obtaining written informed consent, in-depth interviews (IDI) were conducted among HIV-positive women of 18–49 years age registered at the four anti-retroviral therapy (ART) centers of erstwhile Visakhapatnam district from 1st July 2020 to 30th June 2022 who were ever pregnant during this period by using a pre-validated interview guide. IDI were conducted until data saturation at each ART center. A focus group discussion was conducted with counsellors from integrated counselling and testing centers and members of Prevention of Mother To Child Transmission Advisory committee. The confidentiality of the participants was strictly maintained.
Results:
A total of 17 HIV-positive pregnant women were interviewed. Most women (13) knew their HIV status before becoming currently pregnant. Among these 13 women, nine were intentional pregnancies. The “patient perspective” included desire for children, challenges related to contraceptive usage, confidence that the use of ART prevents transmission to offspring, and financial reasons. Patient-related factors such as late reporting, availability of contraceptive services, and assurance given to ensure ART compliance were provider-related perspectives on pregnancies among HIV-positive women.
Conclusion:
HIV positive couples either concordant or discordant, are confident of the effectiveness of the Anti retroviral treatment that they desire to have children like normal couples. Awareness and availability of dual contraception needs to be strengthened at ART centres. |
| format | Article |
| id | doaj-art-b95d84836cfa473a9ea5d051757dda3a |
| institution | Kabale University |
| issn | 2249-4863 2278-7135 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj-art-b95d84836cfa473a9ea5d051757dda3a2025-08-20T03:31:38ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352025-06-011462374237910.4103/jfmpc.jfmpc_1884_24Correlates of unintended pregnancies among HIV+ womenYalamanchili PadmasriSoumya VaranasiIntroduction: Pregnancies among HIV-positive women can lead to adverse maternal and child outcomes with added negative impact on the health system. This study intended to explore the correlates of unintended pregnancies among HIV-positive women. Methodology: After obtaining written informed consent, in-depth interviews (IDI) were conducted among HIV-positive women of 18–49 years age registered at the four anti-retroviral therapy (ART) centers of erstwhile Visakhapatnam district from 1st July 2020 to 30th June 2022 who were ever pregnant during this period by using a pre-validated interview guide. IDI were conducted until data saturation at each ART center. A focus group discussion was conducted with counsellors from integrated counselling and testing centers and members of Prevention of Mother To Child Transmission Advisory committee. The confidentiality of the participants was strictly maintained. Results: A total of 17 HIV-positive pregnant women were interviewed. Most women (13) knew their HIV status before becoming currently pregnant. Among these 13 women, nine were intentional pregnancies. The “patient perspective” included desire for children, challenges related to contraceptive usage, confidence that the use of ART prevents transmission to offspring, and financial reasons. Patient-related factors such as late reporting, availability of contraceptive services, and assurance given to ensure ART compliance were provider-related perspectives on pregnancies among HIV-positive women. Conclusion: HIV positive couples either concordant or discordant, are confident of the effectiveness of the Anti retroviral treatment that they desire to have children like normal couples. Awareness and availability of dual contraception needs to be strengthened at ART centres.https://journals.lww.com/10.4103/jfmpc.jfmpc_1884_24correlateshiv positive womenunintentional pregnancies |
| spellingShingle | Yalamanchili Padmasri Soumya Varanasi Correlates of unintended pregnancies among HIV+ women Journal of Family Medicine and Primary Care correlates hiv positive women unintentional pregnancies |
| title | Correlates of unintended pregnancies among HIV+ women |
| title_full | Correlates of unintended pregnancies among HIV+ women |
| title_fullStr | Correlates of unintended pregnancies among HIV+ women |
| title_full_unstemmed | Correlates of unintended pregnancies among HIV+ women |
| title_short | Correlates of unintended pregnancies among HIV+ women |
| title_sort | correlates of unintended pregnancies among hiv women |
| topic | correlates hiv positive women unintentional pregnancies |
| url | https://journals.lww.com/10.4103/jfmpc.jfmpc_1884_24 |
| work_keys_str_mv | AT yalamanchilipadmasri correlatesofunintendedpregnanciesamonghivwomen AT soumyavaranasi correlatesofunintendedpregnanciesamonghivwomen |