COUNSELING OF HIV POSITIVE WOMEN DESIRING TO CONCEIVE
Keywords:
reproductive health, HIV-positive, WLHIV, preconception counseling
Abstract
Sexual and reproductive well-being is a major aspect of good health and is an integral part of being a woman. For an HIV positive (HIV+) woman, sexual and reproductive health represents a more complex issue, and these women encounter unique challenges regarding their relationships, sexual satisfaction and also childbearing. Pregnancy rates among women living with HIV (WLHIV) have increased during the past decades with the availability of HIV treatment, making planning for pregnancy an increasingly important part of WLHIV care. Preconception counseling for WLHIV, including assessing fertility and presenting health recommendations regarding conception, may diminish the risk of birth defects, preterm delivery, low birth weight, fetal loss and vertical or horizontal transmission of HIV. These aspects greatly influence reproductive decision-making. The potential gaps in knowledge highlight the need to inform and educate the WLHIV desiring to procreate and help them explore how and with whom they reach this goal.
References
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[26] L Mandelbrot, R Tubiana, J Le Chenadec, et al. “No perinatal HIV-1 transmission from women with effective antiretroviral therapy starting before conception.” Clin Infect Dis 2015;61:1715–25.
[27] Centers for Disease Control and Prevention. Provider information sheetv– PrEP during conception, pregnancy, and breastfeeding. Atlanta, GA:CDC; Available at: https: / / www.cdc.gov / hiv / basics / prep / about-prep.html
[28] M Loutfy, VL Kennedy, I Boucoiran, V Poliquin, C Elwood, A Kaida, L Challacombe, H Shapiro, MH Yudin. “A clinical practice guide: What HIV care providers need to know about HIV pregnancy planning to optimize preconception care for their patients.” Official Journal of the Association of Medical Microbiology and Infectious Disease. 2019;5(1), pp. 8–20
[29] E Friedman, MS Orlando, J Anderson, et al. “Everything I needed from her was everything she gave back to me:” an evaluation of preconception counseling for U.S. HIV-serodiscordant couples desiring pregnancy. Womens Health Issues 2016;26:351–6.
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[31] HIV Medicine Association, & Infectious Diseases Society of America. (2014). Primary care guidelines for the management of persons infected with HIV: 2013 update by the HIV medicine association of the Infectious Diseases Society of America. Clinical Infectious Diseases, 58(1), e1–e34. doi:10.1093 / cid / cit665
Accessed on March 11, 2022.
[32] Clinical Guides. Romanian Ministry of Health. https: / / www.ms.ro / ghiduri-clinice. Accessed March 13, 2022.
[2] JL Marcus, CR Chao, WA Leyden, et al. “Narrowing the gap in life expectancy between HIV-infected and HIV-uninfected individuals with access to care.” J Acquir Immune Defic Syndr 2016;73:39–46.
[3] SM Weiss, R Zulu, DL Jones, CA Redding, R Cook, N.Chitalu “The Spear and shield intervention to increase the availability and accept¬ability of voluntary medical male circumcision in Zambia: a cluster randomised controlled trial.” Lancet HIV. 2015;2(5):e181–e189.
[4] DL Jones, M Echenique, J, VJ Potter Rodriguez, SM Weiss, MA Fischl. “Adolescent girls and young women living with HIV: preconception counseling strategies”. Int J Womens Health. 2017 Sep 14;9:657-663. doi: 10.2147 / IJWH.S136668. PMID: 29066934; PMCID: PMC 5605185.
[5] M Loutfy, VL Kennedy, V Poliquin, F Dzineku, NL Dean, S Margolese, A Symington, DM Money, S Hamilton, T,Conway S,Khan, MH. Yudin No. 354-“Canadian HIV Pregnancy Planning Guidelines. J Obstet Gynaecol” Can. 2018 Jan;40(1):94-114. doi: 10.1016 / j.jogc.2017.06.033. PMID: 29274714.
[6] US Department of Health and Human Services. Recommendations for the Use of Antiretroviral Drugs During Pregnancy and Interventions to Reduce Perinatal HIV Transmission in the United States Washington, DC: U.S. Department of Health and Human Services; 2021. https: / / clinicalinfo.hiv.gov / en / guidelines / perinatal / reproductive-options-couples-when-one-or-both-partners-are-living-hiv
[7] S. K. Whitmore, X., Zhang, Taylor, A. W., J. M. & Blair, (2011). “Estimated number of infants born to HIV-infected women in the United States and five dependent areas, 2006. Journal of Acquired Immune Deficiency Syndromes,” 57(3), 218–222. doi:10.1097 / QAI.0b013e3182167dec
[8] RH Gokhale, H Bradley, J. Weiser “Reproductive health counseling delivered to women living with HIV in the United States.” AIDS Care. 2017 Jul;29(7):928-935. doi: 10.1080 / 09540121.2017.1280125. Epub 2017 Jan 23. PMID: 28114813.
[9] Centers for Disease Control and Prevention. (2015). Behavioral and clinical characteristics of persons receiving medical care for HIV infection – medical monitoring project, United States, 2012. Retrieved from http: / / www.cdc.gov / hiv / 6 R. H. GOKHALE ET AL. pdf / library / reports / surveillance / cdc-hiv-HSSR_MMP_2012.pdf
[10] MY Sutton, R Patel, EL.Frazier “Unplanned pregnancies among HIV-infected women in care-United States.” J Acquir Immune Defic Syndr. 2014;65(3):350–358.
[11] US Department of Health and Human Services. Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents. Washington, DC: U.S. Department of Health and Human Services; 2022. Available at: https: / / clinicalinfo.hiv.gov / en / guidelines / adult-and-adolescent-arv / whats-new-guidelines Accessed on March 11, 2022.
[12] World Health Organization. Sexual and reproductive health and rights: a global development, health, and human rights priority. Geneva, Switzerland: WHO; 2014. Available at: reproductivehealth / publications / gender_rights / srh-rights-comment / en / . Accessed on March 12, 2022.
[13] MR Loutfy, TA Hart, SS Mohammed Ontario “HIV Fertility Research Team, et al. Fertility desires and intentions of HIV-positive women of reproductive age in Ontario, Canada: a cross sectional study” PLoS ONE 2009;4:e7925.
[14] B Nattabi, J Li, SC Thompson, et al. “A systematic review of factors influencing fertility desires and intentions among people living with HIV / AIDS: implications for policy and service delivery.” AIDS Behav 2009;13:949–68.
[15] ACOG Committee. Opinion no. 762: prepregnancy counseling. Obstet Gynecol 2019; 133:e78–89.
[16] MA Thompson, MA Horberg, AL Agwu, JA Colasanti, MK Jain, WR Short, T Singh, JA Aberg. “Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America.” Clin Infect Dis. 2021 Dec 6;73(11):e3572-e3605. doi: 10.1093 / cid / ciaa1391. Erratum in: Clin Infect Dis. 2021 Dec 08;: PMID: 33225349.
[17] MS Cohen, YQ Chen, M McCauley, et al. “Antiretroviral therapy for the prevention of HIV-1 transmission.” N Engl J Med 2016;375:830–9.
[18] I,Ddumba-Nyanzi D Kaawa-Mafigiri, H. Johannessen “Barriers to communication between HIV care providers (HCPs) and women living with HIV about child bearing : a qualitative study.” Patient Educ Couns. (2016) 99:754–9. doi: 10.1016 / j.pec.2015.11.023
[19] SA Gutin, GW Harper, N Moshashane, C Bitsang, J,Harries D Ramogola-Masire, C.Morroni "What if they are pre-conception? What should we do?": Knowledge, practices, and preferences for safer conception among women living with HIV and healthcare providers in Gaborone, Botswana. Front Glob Womens Health. 2020 Dec; 1:582463. doi: 10.3389 / fgwh.2020.582463. Epub 2020 Dec 15. PMID: 33693437; PMCID: PMC7943178.
[20] H Rubin, JA Cook, DD Grey, et al. “Perinatal depressive symptoms in HIV-infected versus HIV-uninfected women: a prospective study from preconception to postpartum.” J Womens Health 2011;20:1287–95.
[21] SS, Sheth Coleman, T Cannon, et al. “Association between depression and nonadherence to antiretroviral therapy in pregnant women with perinatally acquired HIV.” AIDS Care 2015;27:350–4.
[22] S Kapetanovic, P Dass-Brailsford, D,Nora et al. "Mental health of HIV-seropositive women during pregnancy and postpartum period: a comprehensive literature review.” AIDS Behav 2014;18:1152–73.
[23] K Rough, R Griner, R Yogev, et al. “Dramatic decline in substance use by HIV-infected pregnant women in the United States from 1990–2012.” AIDS 2015;29:117–23.
[24] O Mmeje, CR Cohen, D.Cohan “Evaluating safer conception options for HIVserodiscordant couples (HIV-infected female / HIV-uninfected male): a closer look at vaginal insemination.” Infect Dis Obstet Gynecol. (2012) 2012:587651. doi: 10.1155 / 2012 / 587651
[25] World Health Organization. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection. Recommendations for a public health approach. Geneva, Switzerland: WHO; 2016. Available at: http: / / www.who.int / hiv / pub / arv / arv-2016 / en / . Accessed on March 13, 2022.
[26] L Mandelbrot, R Tubiana, J Le Chenadec, et al. “No perinatal HIV-1 transmission from women with effective antiretroviral therapy starting before conception.” Clin Infect Dis 2015;61:1715–25.
[27] Centers for Disease Control and Prevention. Provider information sheetv– PrEP during conception, pregnancy, and breastfeeding. Atlanta, GA:CDC; Available at: https: / / www.cdc.gov / hiv / basics / prep / about-prep.html
[28] M Loutfy, VL Kennedy, I Boucoiran, V Poliquin, C Elwood, A Kaida, L Challacombe, H Shapiro, MH Yudin. “A clinical practice guide: What HIV care providers need to know about HIV pregnancy planning to optimize preconception care for their patients.” Official Journal of the Association of Medical Microbiology and Infectious Disease. 2019;5(1), pp. 8–20
[29] E Friedman, MS Orlando, J Anderson, et al. “Everything I needed from her was everything she gave back to me:” an evaluation of preconception counseling for U.S. HIV-serodiscordant couples desiring pregnancy. Womens Health Issues 2016;26:351–6.
[30] AC Eke, C. Oragwu “Sperm washing to prevent HIV transmission from HIV-infected men but allowing conception in sero-discordant couples.” Cochrane Database Syst Rev 2011;(1):CD008498.
[31] HIV Medicine Association, & Infectious Diseases Society of America. (2014). Primary care guidelines for the management of persons infected with HIV: 2013 update by the HIV medicine association of the Infectious Diseases Society of America. Clinical Infectious Diseases, 58(1), e1–e34. doi:10.1093 / cid / cit665
Accessed on March 11, 2022.
[32] Clinical Guides. Romanian Ministry of Health. https: / / www.ms.ro / ghiduri-clinice. Accessed March 13, 2022.
Published
2023-01-03
How to Cite
Antonovici, M., Frîncu, F., Mehedințu, C., Petca, A., Carp-Velișcu, A., Baroș, A., Cîrstoiu, M., Edu, A., Mateescu, R., & Plotogea, M. (2023). COUNSELING OF HIV POSITIVE WOMEN DESIRING TO CONCEIVE. Romanian Journal of Clinical Research, 5(2). https://doi.org/10.33695/rjcr.v5i2.92
Section
Articles
