Fertility intentions of women of reproductive age living with HIV in British Columbia, Canada

Ogilvie, Gina; Palepu, Anita; Remple, Valencia P.; Maan, Evelyn J.; Heath, Katherine; MacDonald, G.; Christilaw, Jan; Berkowitz, Jonathan; Fisher, William A.; Burdge, David R.

doi:10.1097/01.aids.0000255090.51921.60

Cited by 92 publications

(132 citation statements)

References 14 publications

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“…Few studies in resource-rich countries have explored the association between partnership status and fertility intentions among HIV-infected individuals. In a Canadian study, Ogilvie et al found that women with regular partners were more likely to intend to have children in the future (Ogilvie et al, 2007), but in two cohort studies in Europe and the United States, partnership status was not a predictor of repeat pregnancy (Bryant et al, 2007;. Our findings are consistent with two studies in South Africa, which found that having fewer children and being in a relationship were associated with increased fertility intention (Myer et al, 2007;Cooper et al, 2009).…”

Section: Discussionsupporting

confidence: 88%

“…Some studies subsequently showed an increase in pregnancy incidence among HIV-infected women (Blair et al, 2004;, and a corresponding decline in terminations (Massad et al, 2004;Townsend et al, 2008). Recent studies in resource-rich settings suggest that around a quarter to a third of HIV-infected women of reproductive age intend to have children in the future, with rates approaching those in the general population (Ogilvie et al, 2007;Myer et al, 2007;Stanwood et al, 2007;Heard et al, 2007). Furthermore some studies in Africa have shown an association between use of HAART and increased fertility intentions (Maier et al, 2009;Cooper et al, 2009).…”

mentioning

confidence: 99%

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Fertility intentions of HIV-infected women in the United Kingdom

et al. 2011

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Section: Discussionsupporting

confidence: 88%

mentioning

confidence: 99%

Fertility intentions of HIV-infected women in the United Kingdom

et al. 2011

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“…Studies from North America and Europe presented that 20-33% of HIV-infected men and women indicate an intention to procreate [23][24][25][26]. The will of having children is often hindered by HIV infection [17].…”

Section: Discussionmentioning

confidence: 99%

The characteristics of HIV serodiscordant couples consulted at the HIV Out-Patient Clinic in Warsaw

Grzeszczuk¹,

Wróblewska²,

Firląg-Burkacka³

et al. 2017

HIV & AIDS Review

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Introduction: Human immunodeficiency virus (HIV) is predominantly transmitted through unprotected sexual intercourse. Condom use in long-term relations is uncertain, thus antiretroviral treatment can be the most efficient method of preventing HIV transmission. The objective of this study was to analyze epidemiological characteristics of HIV serodiscordant couples coming to consecutive visits. Material and methods:Data on demographics, HIV viral load, hepatitis B virus (HBV) and hepatitis C virus (HCV) co-infections of HIV positive individuals (index patients) and data on sexual behavior, condom use in sexual relations were obtained from medical files.Results: There were 52 couples investigated: 16 (31%) homosexual and 36 (69%) heterosexual ones. In general, 47 (90%) HIV positive patients were on combination antiretroviral therapy (cART) and 42 (89%) had HIV RNA below 50 copies/ml at last measurement. During one year of observation, 18 (35%) patients had detectable HIV RNA. Out of index patients, 18 (35%) were anti-HCV positive, 1 (2%) was HBSAg positive and 4 (7.7%) were VDRL positive. Twenty (38%) persons admitted to have unprotected sexual contacts, 6 (29%) homosexual men and 15 (71%) heterosexual persons. Only 29 (56%) HIV negative partners were tested regularly for HIV. Ten (19%) of HIV positive patients already had children. There were five pregnancies during the time of the study. Four couples declared a desire to have children. Only 3 couples considered assisted reproduction. Conclusions:Unprotected sex occurs often among serodiscordant couples observed. Thus regular cART should be emphasized. Frequent co-infections (HCV and syphilis) among index patients prove that it is necessary to test HIV negative partners for these infections. The observation confirms purposefulness of couple counseling about safe conception.

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“…[143][144][145] Fertility-related assessments prior to pregnancy in this population are limited, although studies focused on women living with HIV in Canada, including women who use drugs, suggested that drug use did not affect fertility intentions. 146 Evidence-based and human rightsaffirming interventions are needed at this time when certain programming efforts incentivize contraceptive use or sterilization among women who use drugs. 147,148 Finally, better understanding of the barriers to engagement in ante and perinatal care among women who use drugs, and of facilitators to earlier access of services, would improve how health risks are addressed during pregnancy.…”

Section: Women Who Use Drugsmentioning

confidence: 99%

Fertility-related research needs among women at the margins

Schwartz¹,

Baral

2015

Reproductive Health Matters

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Fertility-related research encompasses fertility intentions, preconception care, research amongst pregnant women, and post-partum outcomes of mothers and children. However, some women remain underrepresented within this domain of study. Women frequently missing within fertility-related research include those who are already the most vulnerable to health disparities, including female sex workers, lesbian, gay, bisexual, and transgender women, women living with HIV, and women who use drugs. Yet characterization of the needs of these women is important, given their unique fertility-related concerns, including risks and barriers to care emanating from social stigmas and discrimination. This synthesis provides an overview of fertility-related evidence, highlighting where there are clear research gaps among marginalized women and the potential implications of these data shortfalls. Overall, research among marginalized women to date has addressed pregnancy prevention and in some cases fertility intentions, but the majority of studies have focused on postconception pregnancy safety and the well-being of the child. However, among female sex workers specifically, data on pregnancy safety and the well-being of the child are largely unavailable. Within each marginalized group, preconception care and effectiveness of conception methods are consistently understudied. Ultimately, the absence of epidemiologic, clinical and programmatic evidence limits the availability and quality of reproductive health services for all women and prevents social action to address these gaps.

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Fertility intentions of women of reproductive age living with HIV in British Columbia, Canada

Cited by 92 publications

References 14 publications

Fertility intentions of HIV-infected women in the United Kingdom

Fertility intentions of HIV-infected women in the United Kingdom

The characteristics of HIV serodiscordant couples consulted at the HIV Out-Patient Clinic in Warsaw

Fertility-related research needs among women at the margins

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