PMID- 26275035
OWN - NLM
STAT- MEDLINE
DCOM- 20160720
LR  - 20220318
IS  - 1360-0451 (Electronic)
IS  - 0954-0121 (Linking)
VI  - 28
IP  - 1
DP  - 2016
TI  - High prevalence of unwanted pregnancies and induced abortions among HIV-infected 
      women from Western India: need to emphasize dual method use?
PG  - 43-51
LID - 10.1080/09540121.2015.1066750 [doi]
AB  - This study examines the prevalence, reasons, and predictors of unwanted 
      pregnancies and induced abortions among ever married HIV-infected women attending 
      a care facility in Maharashtra, Western India, and discusses its programmatic and 
      policy implications. Retrospectively collected data of pregnancies conceived 
      after the diagnosis of HIV were analyzed using descriptive and logistic 
      regression techniques. Among the 622 women interviewed, 113 women had 158 
      pregnancies with known outcomes after HIV diagnosis. Among these pregnancies, 80 
      (51%) were unwanted and 79 (50%) were voluntarily terminated. Fear of 
      transmitting HIV to the child was a frequently mentioned reason for an unwanted 
      pregnancy (71.8%) and induced abortion (59.5%). Women from urban areas [OR 2.43 
      (95% CI 1.23-4.79)] and with two or more live births before HIV diagnosis [OR 
      3.33 (95% CI 1.36-8.20)] were significantly more likely to report an unwanted 
      pregnancy. Women with two or more live births before HIV diagnosis [OR 3.16 (95% 
      CI 1.20-8.35)], who did not know that HIV transmission to the baby can be 
      prevented [OR 3.29 (95% CI 1.48-7.34)] and with an unwanted pregnancy [OR 4.82 
      (95% CI 2.33-10.00)], were significantly more likely to terminate the pregnancy. 
      Despite increased coverage of antiretroviral treatment, effective provision of 
      reproductive healthcare services to HIV-infected women remains challenging. A 
      high prevalence of unwanted pregnancies and induced abortions and a low level of 
      knowledge about prevention of mother to child transmission (PMTCT) underscore the 
      need for preconception counseling and provision of comprehensive family planning 
      services to HIV-infected women. Enrolling all HIV-infected pregnant women, 
      irrespective of their decision to continue with their pregnancy, in the PMTCT 
      program and discussing with HIV-infected women and their partners at HIV 
      diagnosis a full array of contraceptive methods and not just consistent use of 
      condoms might be helpful in reducing unwanted pregnancies.
FAU - Darak, Shrinivas
AU  - Darak S
AD  - a Faculty of Spatial Sciences , Population Research Centre, University of 
      Groningen , Groningen , The Netherlands.
AD  - b PRAYAS Health Group , Prayas Amrita Clinic , Athawale Corner Building, Karve 
      Road, Pune , Maharashtra 411004 , India.
FAU - Hutter, Inge
AU  - Hutter I
AD  - a Faculty of Spatial Sciences , Population Research Centre, University of 
      Groningen , Groningen , The Netherlands.
FAU - Kulkarni, Vinay
AU  - Kulkarni V
AD  - b PRAYAS Health Group , Prayas Amrita Clinic , Athawale Corner Building, Karve 
      Road, Pune , Maharashtra 411004 , India.
FAU - Kulkarni, Sanjeevani
AU  - Kulkarni S
AD  - b PRAYAS Health Group , Prayas Amrita Clinic , Athawale Corner Building, Karve 
      Road, Pune , Maharashtra 411004 , India.
FAU - Janssen, Fanny
AU  - Janssen F
AD  - a Faculty of Spatial Sciences , Population Research Centre, University of 
      Groningen , Groningen , The Netherlands.
AD  - c Netherlands Interdisciplinary Demographic Institute , The Hague , The 
      Netherlands.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150814
PL  - England
TA  - AIDS Care
JT  - AIDS care
JID - 8915313
SB  - IM
MH  - Abortion, Induced/*statistics & numerical data
MH  - Adult
MH  - Female
MH  - HIV Infections/diagnosis/*epidemiology
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - India/epidemiology
MH  - Infectious Disease Transmission, Vertical/prevention & control
MH  - Interviews as Topic
MH  - Middle Aged
MH  - Parity
MH  - Pregnancy
MH  - *Pregnancy, Unwanted
MH  - Prevalence
MH  - Regression Analysis
MH  - Retrospective Studies
MH  - Urban Population
OTO - NOTNLM
OT  - HIV
OT  - India
OT  - PMTCT
OT  - induced abortions
OT  - unwanted pregnancies
EDAT- 2015/08/15 06:00
MHDA- 2016/07/21 06:00
CRDT- 2015/08/15 06:00
PHST- 2015/08/15 06:00 [entrez]
PHST- 2015/08/15 06:00 [pubmed]
PHST- 2016/07/21 06:00 [medline]
AID - 10.1080/09540121.2015.1066750 [doi]
PST - ppublish
SO  - AIDS Care. 2016;28(1):43-51. doi: 10.1080/09540121.2015.1066750. Epub 2015 Aug 
      14.