Medical and surgical abortion for women living with HIV

Saleem, Haneefa; Narasimhan, Manjulaa; Ganatra, Bela; Kennedy, Caitlin E.

doi:10.1002/14651858.cd012834.pub2

Cited by 4 publications

(7 citation statements)

References 26 publications

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“…Other studies also indicate termination rates may be high in WWH [23], but data are scarce in Europe. Published research generally assumes HIV status is the only reason for ending a pregnancy [24,25]. As abortions can follow unintended pregnancies, it is important to ensure access to contraceptive counselling and modern contraception methods for WWH in Europe.…”

Section: Adjusted Odds Ratiomentioning

confidence: 99%

Prevalence and outcomes of pregnancies in women with HIV over a 20-year period

Kowalska

Pelchen–Matthews

Ryom

et al. 2021

Aids

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c , for the EuroSIDA Study GroupObjective: To evaluate time trends in pregnancies and pregnancy outcomes among women with HIV in Europe.Design: European multicentre prospective cohort study.Methods: EuroSIDA has collected annual cross-sectional audits of pregnancies between 1996 and 2015. Pregnancy data were extracted and described. Odds of pregnancy were modelled, adjusting for potential confounders using logistic regression with generalized estimating equations.Results: Of 5535 women aged 16 to <50 years, 4217 (76.2%) had pregnancy information available, and 912 (21.6%) reported 1315 pregnancies. The proportions with at least one pregnancy were 28.1% (321/1143) in East, 24.5% (146/596) in North,

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Section: Adjusted Odds Ratiomentioning

confidence: 99%

Prevalence and outcomes of pregnancies in women with HIV over a 20-year period

Kowalska

Pelchen–Matthews

Ryom

et al. 2021

Aids

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“…72 A Cochrane review from 2018 did not find any studies examining the safety and efficacy of procedural abortion among individuals living with HIV, emphasizing the lack of evidence to guide health care providers pertaining to this clinical situation. 66 Overall, these studies do not demonstrate strong evidence for a heightened risk of infection after suction curettage among people living with HIV. However, given the findings in Stuart and colleagues' small study about the potential increased risk of anesthetic complications among those living with HIV, clinicians should engage in shared decision-making with patients regarding risks and benefits of undergoing abortion care in the outpatient versus operating room setting, particularly for those with HIV without viral suppression or with AIDS.…”

Section: Procedural Abortionmentioning

confidence: 85%

“…65 In this study, the medication abortion regimen was mifepristone 200 mg orally in the hospital followed by misoprostol 400 mcg sublingually 36 to 48 hours later. 66 Medication abortion was highly effective (96%), with low rates of complications. Among the 68 women, there was one incomplete abortion, one case of heavy bleeding, and one case of ongoing pregnancy with no cases of serious postabortion infections.…”

Section: Abortion Care For People Living With Hiv Medication Abortionmentioning

confidence: 98%

“…In terms of postabortion infectious complications, Stuart and colleagues found that postoperative infection did not differ between women with and without HIV 72 . A Cochrane review from 2018 did not find any studies examining the safety and efficacy of procedural abortion among individuals living with HIV, emphasizing the lack of evidence to guide health care providers pertaining to this clinical situation 66 . Overall, these studies do not demonstrate strong evidence for a heightened risk of infection after suction curettage among people living with HIV.…”

Section: Abortion Care For People Living With Hivmentioning

confidence: 99%

“…67 Other than the study in Ukraine, a Cochrane review from 2018 found no other studies pertaining to the safety of medication abortion among individuals living with HIV, suggesting a knowledge gap and a need for further research. 66 To our knowledge, there are no studies that explore drug-drug interactions between misoprostol or mifepristone with antiretroviral treatment.…”

Section: Abortion Care For People Living With Hiv Medication Abortionmentioning

confidence: 99%

See 2 more Smart Citations

Contraception and Abortion Care for People Living With HIV: A Clinical Guide for Reproductive Health Practitioners

Yang,

Allen,

Cambou

et al. 2023

J Midwife Womens Health

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People capable of pregnancy are disproportionately affected by HIV. Family planning needs and services are often unmet in this population, and clinical care guidelines regarding contraceptive options and abortion care are not well elucidated. Individuals living with HIV often face unique barriers in accessing contraception and abortion services due to internalized stigma, medically complex care (eg, drug–drug interactions, adverse effects of antiretroviral therapy), and distrust of health care providers. There is also a lack of clarity among reproductive health, primary, and infectious disease care providers on best‐practice contraceptive counseling and contraceptive care for individuals living with HIV, given limited opportunities to enhance expertise in reproductive infectious disease. In this review, we summarize existing and updated evidence and clinical considerations regarding contraceptive counseling and abortion care in this population.

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The preventable burden of mortality from unsafe abortion among female sex workers: a Community Knowledge Approach survey among peer networks in eight countries

Willis,

Church,

Perttu

et al. 2023

Sexual and Reproductive Health Matters

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Previous studies have found high levels of unintended pregnancy among female sex workers (FSW), but less attention has been paid to their abortion practices and outcomes. This study is the first to investigate abortion-related mortality among FSW across eight countries: Angola, Brazil, Democratic Republic of Congo (DRC), India, Indonesia, Kenya, Nigeria, and South Africa. The Community Knowledge Approach (CKA) was used to survey a convenience sample of FSW ( n = 1280). Participants reported on the deaths of peer FSW in their social networks during group meetings convened by non-governmental organisations ( n = 165 groups, conducted across 24 cities in 2019). Details on any peer FSW deaths in the preceding five years were recorded. The circumstances of abortion-related deaths are reported here. Of the 1320 maternal deaths reported, 750 (56.8%) were due to unsafe abortion. The number of abortion-related deaths reported was highest in DRC (304 deaths reported by 270 participants), Kenya (188 deaths reported by 175 participants), and Nigeria (216 deaths reported by 312 participants). Among the abortion-related deaths, mean gestational age was 4.6 months and 75% occurred outside hospital. Unsafe abortion methods varied by country, but consumption of traditional or unknown medicines was most common (37.9% and 29.9%, respectively). The 750 abortion-related deaths led to 1207 children being left motherless. The CKA successfully recorded a stigmatised practice among a marginalised population, identifying very high levels of abortion-related mortality. Urgent action is now needed to deliver comprehensive sexual and reproductive healthcare to this vulnerable population, including contraption, safe abortion, and post-abortion care.

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Medical and surgical abortion for women living with HIV

Abstract: al. Validation of a general measure of treatment satisfaction, the Treatment Satisfaction Questionnaire for Medication (TSQM), using a national panel study of chronic disease. Health and Quality of Life Outcomes 2004;2(1):12.

Cited by 4 publications

References 26 publications

Prevalence and outcomes of pregnancies in women with HIV over a 20-year period

Prevalence and outcomes of pregnancies in women with HIV over a 20-year period

Contraception and Abortion Care for People Living With HIV: A Clinical Guide for Reproductive Health Practitioners

The preventable burden of mortality from unsafe abortion among female sex workers: a Community Knowledge Approach survey among peer networks in eight countries

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