Unplanned pregnancies and social and partner support during pregnancy in Spanish women living with HIV
- PMID: 36810955
- DOI: 10.1111/hiv.13469
Unplanned pregnancies and social and partner support during pregnancy in Spanish women living with HIV
Abstract
Objectives: To describe prevalence and factors associated with unplanned pregnancies, and social and partner support during pregnancy among women from the Cohort of the Spanish HIV/AIDS Research Network (CoRIS).
Methods: We included all women recruited in CoRIS from 2004 to 2019, aged 18-50 years at recruitment who were pregnant during 2020. We designed a questionnaire, organized into the following domains: sociodemographic characteristics, tobacco and alcohol consumption, pregnancy and reproductive health, and social and partner support. The information was gathered via telephone interviews conducted from June to December 2021. We calculated prevalence of unplanned pregnancies as well as odds ratios (ORs) of association and 95% confidence intervals (CIs) according to sociodemographic, clinical and reproductive characteristics.
Results: Among 53 women who were pregnant during 2020, 38 (71.7%) answered the questionnaire. Median age at pregnancy was 36 years [interquartile range (IQR) 31-39], 27 (71.1%) women were born outside of Spain, mainly in sub-Saharan Africa (39.5%) and 17 (44.7%) were employed. Thirty-four (89.5%) women had been through previous pregnancies and 32 (84.2%) had experienced previous abortions/miscarriages. Seventeen (44.7%) women had shared with their clinician their desire to get pregnant. Thirty-four (89.5%) pregnancies were natural and four used assisted reproductive techniques (in vitro fertilizations; one additionally used oocyte donation). Of 34 women with natural pregnancies, pregnancy was unplanned in 21 (61.8%) and 25 (73.5%) had information on how to become pregnant avoiding HIV transmission to the baby and partner. Women who did not seek advice from their physician about becoming pregnant had a significantly increased risk of unplanned pregnancy (OR = 71.25, 95% CI: 8.96-566.67). Overall, 14 (36.8%) women reported having low social support during pregnancy and 27 (71.0%) had good/very good support by their partner.
Conclusions: Most pregnancies were natural and unplanned and very few women had talked with their clinician about their desire to become pregnant. A high proportion of women reported low social support during pregnancy.
Keywords: HIV infection; attitude; cohort studies; pregnancy.
© 2023 British HIV Association.
References
REFERENCES
-
- Alvarez-del Arco D, Rodríguez S, Pérez-Elías MJ, et al. Role of HIV in the desire of procreation and motherhood in women living with HIV in Spain: a qualitative approach. BMC Womens Health [Internet]. 2018;18(1):24. doi:10.1186/s12905-017-0483-y
-
- Yan X, Du J, Ji G. Prevalence and factors associated with fertility desire among people living with HIV: a systematic review and meta-analysis. Matovu JKB, editor. PLoS One [Internet]. 2021;16(3):e0248872. doi:10.1371/journal.pone.0248872
-
- Hernando V, Alejos B, Montero M, et al. Reproductive history before and after HIV diagnosis. Medicine (Baltimore) [Internet]. 2017;96(5):e5991 Available from: https://journals.lww.com/00005792-201702030-00047
-
- Cliffe S, Townsend CL, Cortina-Borja M, Newell M-L. Fertility intentions of HIV-infected women in the United Kingdom. AIDS Care [Internet]. 2011;23(9):1093-1101. doi:10.1080/09540121.2011.554515
-
- Hernando V, Alejos B, Álvarez D, et al. Reproductive desire in women with HIV infection in Spain, associated factors and motivations: a mixed-method study. BMC Pregnancy Childbirth [Internet]. 2014;14(1):194. doi:10.1186/1471-2393-14-194
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical