Postpartum Contraceptive Use Among HIV Positive Women in Cipto Mangunkusumo Hospital Jakarta, Indonesia: A Cross Sectional Study

KnE Medicine ◽  
2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Merry Amelya
Keyword(s):  
Family Planning ◽  
Unintended Pregnancy ◽  
Contraceptive Use ◽  
Elective Caesarean Section ◽  
Hiv Positive ◽  
Potential Contribution ◽  
Original Cohort ◽  
Unintended Pregnancies ◽  
Hiv Positive Women ◽  
Long Acting

<p><strong>Background: </strong>Prevention of unintended pregnancy among HIV positive women is the second element of prevention of mother to child transmission of HIV. Contraceptive use in Indonesia remains low, despite the potential contribution of family planning (FP) to the prevention of HIV infection and unintended pregnancy. It is anticipated that this research will update existing knowledge, inform policy makers and programmers to support safer and healthier reproductive options among HIV positive women in the study area.<strong></strong></p><p><strong>Methods: </strong>The study was conducted in Cipto Mangunkusumo Hospital Jakarta, Indonesia, since January 1<sup>st</sup> 2013 until December 31<sup>st</sup> 2014. Of the original cohort of 5499 women delivered in 2013-2014, 65 were HIV positive. The 58 subjects in this study were selected from each group of HIV positive women and HIV negative who had delivery in this hospital either by emergency admission or elective caesarean section. <strong></strong></p><p><strong>Results: </strong>There were a total of 5449 deliveries, during the study period, out of which 65 were HIV positive women (1,2%). From 58 randomly selected patients, the mean age of HIV positive mothers was 27,74 ± 4,73 years. Their parity ranged from zero to five. With significantly uses of long acting contraception as IUD and sterilization on HIV-positive women as well as booked cased patients.<strong></strong></p><strong>Conclusions: </strong>The high rates of unintended pregnancies in the sample of HIV positive women suggest that the WHO’s strategy of preventing unintended pregnancies amongst HIV positive women to minimise vertical transmission of HIV must be reinforced. Long acting and permanent methods could fill an important gap in family planning services in Indonesia given women’s stated fertility preferences indicating a strong desire to either not have a future pregnancy or to wait several years before the birth of their next child.

scholarly journals Unintended Repeat Pregnancies Among HIV Positive Women in Rio De Janeiro, Brazil

2018 ◽  
Vol 12 (1) ◽  
pp. 174-180
Author(s):  
Bernardo B. Wittlin ◽  
Alice W. Carvalho ◽  
Giulia P. Lima ◽  
Rune Andersson ◽  
Susanne Johansson ◽  
...  
Keyword(s):  
Viral Load ◽  
Family Planning ◽  
Antenatal Care ◽  
Unintended Pregnancy ◽  
Rio De Janeiro ◽  
Hiv Positive ◽  
Continuous Family ◽  
Unintended Pregnancies ◽  
Illegal Abortion ◽  
Hiv Positive Women

Introduction: High rates of unintended pregnancies among HIV positive women have been reported by several studies. Among repeated pregnancies, these rates may be higher. Our aim was to describe the unintended pregnancy rate in repeat gestations of the same group of HIV-positive women. Methodology: From a prospective cohort of HIV-infected pregnant women followed-up from 1995 to 2013 in an Antenatal Clinic (ANC) in Rio de Janeiro, we selected women who had at least two consecutive pregnancies. Patient data were prospectively obtained from standardized questionnaires. The main dependent variable was if the pregnancy was intended or unintended. Some of the other variables were: age, the interval between pregnancies, household income, CD4 cells count at admission in the ANC and at delivery, viral load<1000 copies/ml at admission and close to delivery, and attempts to illegal abortion. Results: From a total of 287 women included, the number of unintended pregnancies increased from 138 (63.6%) at first pregnancy to 198 (81.8%) at second pregnancy (p < 0.01). At first pregnancy, we observed 8 women who had made an attempt to illegal abortion (7 with an unintended pregnancy and 1 with a wanted pregnancy, p = 0.06), while at second pregnancy, 34 of them had made an attempt (33 with unintended pregnancy and 1 with a wanted pregnancy, p < 0.01). Regarding viral load suppression close to delivery, there was no statistic difference between first and second pregnancies (72,7% vs. 70,5%, p = 0.36) as well as between intended and unintended pregnancies (in first pregnancy: 80% vs. 86%, p = 0.4; in second pregnancy: 72% vs. 83%, p = 0,1). Conclusion: High rates of unintended pregnancies and illegal abortion attempts, along with their increase from one pregnancy to the subsequent, reinforce the need for continuous family planning practices in HIV-infected patients. The majority of the women were able to reach undetectable viral load at the end of the pregnancy, including those with unintended pregnancies. Implications: HIV infected patients presenting in antenatal care for sequential unintended pregnancies. Despite the fact that abortion is illegal in this country, a substantial number of women, still attempt it before attending antenatal care. Family planning actions should be performed during the antenatal care.

scholarly journals Contraceptive Use and Method Preferences among HIV Positive Women in Ethiopia: A Systematic Review and Meta-analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Getnet Gedefaw ◽  
Adam Wondmieneh ◽  
Asmamaw Demis
Keyword(s):  
Systematic Review ◽  
Unintended Pregnancy ◽  
Contraceptive Use ◽  
Meta Analysis ◽  
Hiv Positive ◽  
Hiv Status ◽  
Women Living With Hiv ◽  
Modern Contraceptives ◽  
Hiv Positive Women ◽  
Living With Hiv

Background. Preventing unintended pregnancies among HIV positive women has a vital role to prevent mother to child transmission. Besides, increasing access to contraceptives has a number of economical importance and reducing the costs for mitigating the unintended pregnancy consequences. Therefore, this study is aimed at assessing the contraceptive use and method of preference among HIV positive women in Ethiopia. Methods. A systematic review and meta-analysis reporting guideline was applied. Articles searched from the Scopus, Pubmed/MEDLINE, EMBASE, AJOL, Hinari, and Google scholar were included in this review. The Stata 11 software was used to compute the analysis. Heterogeneity of the studies was detected using the Cochran Q test and I2 test statistics. Egger’s test was used to check the evidence of publication bias within the studies. Subgroup analysis and sensitivity analysis was computed with the evidence of heterogeneity. Results. Ten thousand one hundred twenty one (10121) women living with HIV/AIDS were recruited in this study. The national estimated prevalence of contraceptive use among HIV positive women in Ethiopia was 57.78% (95% CI: 48.53-67.03). Injectables and male condom were the most preferred contraceptives accounted for 36.00% (95% CI: 6.64-45.35) and 32.74% (95% CI: 21.08-44.40), respectively. Discussion with husband/partner (AOR: 4.70, 95% CI: 2.18-10.12), disclosure of HIV status to spouse/partner (AOR: 2.18, 95% CI: 1.55-3.06), ever counseled for modern contraceptives (AOR: 2.79, 95% CI: 2.01-3.88), attending secondary and above education (AOR: 3.12, 95% CI: 2.15-4.51), and having more than one live child (AOR: 2.61, 95% CI: 1.86-3.66) were increasing the likelihood of contraceptive use whereas not currently married women (AOR: 0.23, 95% CI: 0.16-0.34) was decreases the odds of contraceptive use. Conclusion. In Ethiopia, more than half of the women living with HIV/AIDS were using contraceptives. Discussion with husband/partner, disclosure of HIV status to spouse/partner, ever counseled for modern contraceptives, attending secondary and above education, and having more than one live child were increasing the uptake of contraceptives among HIV positive women. Partner discussion, having adequate information towards contraceptive use, and having desired number of child could increase the utilization; as a result, obstetric complication with HIV positive women due to unintended pregnancy is significantly decreasing.

scholarly journals Contraceptive use and unmet need for family planning among HIV positive women on antiretroviral therapy in Kumasi, Ghana

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Dennis Odai Laryea ◽  
Yaw Ampem Amoako ◽  
Kathryn Spangenberg ◽  
Ebenezer Frimpong ◽  
Judith Kyei-Ansong
Keyword(s):  
Family Planning ◽  
Antiretroviral Therapy ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Hiv Positive ◽  
Hiv Positive Women

scholarly journals Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda

2019 ◽  
Author(s):  
JULIET NABIRYE ◽  
Joseph KB Matovu ◽  
John Baptist Bwanika ◽  
Fredrick Makumbi ◽  
Rhoda K. Wanyenze
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Critical Time ◽  
Hiv Care ◽  
Hiv Positive ◽  
Cross Sectional Survey ◽  
Time Points ◽  
Modern Contraception ◽  
Unintended Pregnancies ◽  
Hiv Positive Women

Abstract Introduction HIV-positive women who are still in the reproductive years need adequate sexual and reproductive health information to make informed reproductive health choices. However, many HIV-positive women who interface with the health system continue to miss out on this information. We sought to: a) determine the proportion of HIV-positive women enrolled in HIV care who missed family planning (FP) counselling; and b) assess if any association existed between FP counseling and current use of modern contraception to inform programming.Methods Data were drawn from a quantitative national cross-sectional survey of 5,198 HIV-positive women receiving HIV care at 245 HIV clinics in Uganda; conducted between August and November 2016. Family planning counseling was defined as receipt of FP information by an HIV-positive woman during ANC, at the time of delivery or at the PNC visit. Analyses on receipt of FP counseling were done on 2,760 HIV-positive women aged 15-49 years who were not currently pregnant and did not intend to have children in the future. We used a modified Poisson regression model to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders. Analyses were performed using STATA statistical software, version 14.1.Results Overall, 2,104 (76.2%) HIV-positive women reported that they received FP counseling at any of the three critical time-points. Of the 24% ( n =656) who did not, 37.9% missed FP counseling at ANC; 41% missed FP counseling during delivery; while 54% missed FP counseling at the post-natal care visit. HIV-positive women who received any FP counseling were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.21; 95% Confidence Interval [CI]: 1.10, 1.33).Conclusion Nearly one-quarter of HIV-positive women did not receive any form of FP counseling when they interfaced with the healthcare system. This presents a missed opportunity for prevention of unintended pregnancies, and suggests a need for the integration of FP counseling into HIV care at all critical time-points.

scholarly journals Faktor-Faktor yang Memengaruhi Kehamilan Tidak Diinginkan di Indonesia

2021 ◽  
Vol 49 (3) ◽  
pp. 155-166
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono
Keyword(s):  
Family Planning ◽  
Unintended Pregnancy ◽  
Health Care Access ◽  
Access To Health Care ◽  
Contraceptive Use ◽  
Pregnancy Termination ◽  
Binary Logistic Regression ◽  
Age Group ◽  
Childbearing Age ◽  
Unintended Pregnancies

Unintended pregnancy can cause pregnancy termination, which leads to safety risks. This study analyzed factors affecting unintended pregnancy in Indonesia. The analysis units were women aged 15-49 who gave birth in the past five years. The sample size was 36,472 women. The research variable was unintended pregnancy, residence, age, education, husbands/partners, employment, wealth, parity, pregnancy termination, decision-maker in woman's access to health care, access to family planning information on radio, television, and newspapers/magazines. The final stage analysis used binary logistic regression. Women in urban were 1.834 times more likely to experience an unintended pregnancy than women in rural. The 20-24 age group was 0.202 times more likely to experience an unintended pregnancy than the 15-19 age group. Women with secondary education were 1.447 times more likely to experience an unintended pregnancy than no education women. The poorer were 1.190 times more likely to experience an unintended pregnancy than the poorest. Multiparity was a strong determinant of unintended pregnancy. History of pregnancy, a decision by husbands, and access to family planning information on radio and television in the last few months were risk factors for unintended pregnancies. The study concluded that eight variables affected unintended pregnancies. Keywords: unintended pregnancy, women of childbearing age, contraceptive use, family planning, maternal health. Abstrak Kehamilan yang tidak diinginkan dapat menyebabkan terminasi kehamilan, yang berujung pada risiko. Studi menganalisis faktor yang mempengaruhi kehamilan tidak diinginkan di Indonesia. Unit analisis wanita usia 15-49 tahun yang melahirkan dalam lima tahun terakhir. Besar sampel 36.472 responden. Variabel penelitian adalah kehamilan tidak diinginkan, tempat tinggal, usia, pendidikan, pasangan, pekerjaan, kekayaan, paritas, terminasi kehamilan, pengambil keputusan akses perempuan terhadap pelayanan kesehatan, akses informasi KB di radio, televisi, dan surat kabar/majalah. Analisis tahap akhir menggunakan regresi logistik biner. Hasil penelitian menunjukkan bahwa perempuan di perkotaan 1,834 kali lebih mungkin mengalami kehamilan yang tidak diinginkan dibandingkan perempuan di perdesaan. Usia 20-24 tahun 0,202 kali lebih mungkin mengalami kehamilan yang tidak diinginkan dibandingkan kelompok 15-19 tahun. Wanita dengan pendidikan menengah 1,447 kali lebih mungkin mengalami kehamilan yang tidak diinginkan daripada yang tidak berpendidikan. Kelompok yang lebih miskin 1,190 kali lebih mungkin mengalami kehamilan yang tidak diinginkan daripada yang paling miskin. Multiparitas adalah determinan kuat dari kehamilan yang tidak diinginkan. Riwayat kehamilan, keputusan suami, dan akses informasi KB di radio/televisi merupakan faktor risiko terjadinya kehamilan yang tidak diinginkan. Studi menyimpulkan delapan variabel yang mempengaruhi kehamilan yang tidak diinginkan. Kata kunci: kehamilan tidak diinginkan, wanita usia subur, penggunaan kontrasepsi, keluarga berencana, kesehatan ibu

scholarly journals Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda

2020 ◽  
Author(s):  
JULIET NABIRYE ◽  
Joseph KB Matovu ◽  
John Baptist Bwanika ◽  
Fredrick Makumbi ◽  
Rhoda K. Wanyenze
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Critical Time ◽  
Hiv Care ◽  
Hiv Positive ◽  
Cross Sectional Survey ◽  
Time Points ◽  
Modern Contraception ◽  
Unintended Pregnancies ◽  
Hiv Positive Women

Abstract Introduction HIV-positive women who are still in the reproductive years need adequate sexual and reproductive health information to make informed reproductive health choices. However, many HIV-positive women who interface with the health system continue to miss out on this information. We sought to: a) determine the proportion of HIV-positive women enrolled in HIV care who missed family planning (FP) counselling; and b) assess if any association existed between FP counseling and current use of modern contraception to inform programming. Methods Data were drawn from a quantitative national cross-sectional survey of 5,198 HIV-positive women receiving HIV care at 245 HIV clinics in Uganda; conducted between August and November 2016. Family planning counseling was defined as receipt of FP information by an HIV-positive woman during ANC, at the time of delivery or at the PNC visit. Analyses on receipt of FP counseling were done on 2,760 HIV-positive women aged 15-49 years who were not currently pregnant and did not intend to have children in the future. We used a modified Poisson regression model to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders. Analyses were performed using STATA statistical software, version 14.1. Results Overall, 2,104 (76.2%) HIV-positive women reported that they received FP counseling at any of the three critical time-points. Of the 24% ( n =656) who did not, 37.9% missed FP counseling at ANC; 41% missed FP counseling during delivery; while 54% missed FP counseling at the post-natal care visit. HIV-positive women who received any FP counseling were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.21; 95% Confidence Interval [CI]: 1.10, 1.33). Conclusion Nearly one-quarter of HIV-positive women did not receive any form of FP counseling when they interfaced with the healthcare system. This presents a missed opportunity for prevention of unintended pregnancies, and suggests a need for the integration of FP counseling into HIV care at all critical time-points.

scholarly journals Missed Opportunities for Family Planning Counselling among HIV-Positive Women Receiving HIV Care in Uganda

2020 ◽  
Author(s):  
JULIET NABIRYE(Former Corresponding Author) ◽  
Joseph KB Matovu(New Corresponding Author) ◽  
John Baptist Bwanika ◽  
Fredrick Makumbi ◽  
Rhoda K. Wanyenze
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Critical Time ◽  
Hiv Care ◽  
Hiv Positive ◽  
Cross Sectional Survey ◽  
Time Points ◽  
Modern Contraception ◽  
Unintended Pregnancies ◽  
Hiv Positive Women

Abstract Introduction HIV-positive women who are still in the reproductive years need adequate sexual and reproductive health information to make informed reproductive health choices. However, many HIV-positive women who interface with the health system continue to miss out on this information. We sought to: a) determine the proportion of HIV-positive women enrolled in HIV care who missed family planning (FP) counselling; and b) assess if any association existed between FP counseling and current use of modern contraception to inform programming. Methods Data were drawn from a quantitative national cross-sectional survey of 5,198 HIV-positive women receiving HIV care at 245 HIV clinics in Uganda; conducted between August and November 2016. Family planning counseling was defined as receipt of FP information by an HIV-positive woman during ANC, at the time of delivery or at the PNC visit. Analyses on receipt of FP counseling were done on 2,760 HIV-positive women aged 15-49 years who were not currently pregnant and did not intend to have children in the future. We used a modified Poisson regression model to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders. Analyses were performed using STATA statistical software, version 14.1. Results Overall, 2,104 (76.2%) HIV-positive women reported that they received FP counseling at any of the three critical time-points. Of the 24% ( n =656) who did not, 37.9% missed FP counseling at ANC; 41% missed FP counseling during delivery; while 54% missed FP counseling at the post-natal care visit. HIV-positive women who received any FP counseling were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.21; 95% Confidence Interval [CI]: 1.10, 1.33). Conclusion Nearly one-quarter of HIV-positive women did not receive any form of FP counseling when they interfaced with the healthcare system. This presents a missed opportunity for prevention of unintended pregnancies, and suggests a need for the integration of FP counseling into HIV care at all critical time-points.

scholarly journals Family planning and PMTCT services: Examining interrelationships, strengthening linkages

2003 ◽  
Keyword(s):  
Family Planning ◽  
Hiv Transmission ◽  
Hiv Positive ◽  
Number Of Children ◽  
Voluntary Counseling And Testing ◽  
Unintended Pregnancies ◽  
Hiv Positive Women ◽  
Counseling And Testing ◽  
Pregnancy And Lactation ◽  
Mother To Child

Preventing unintended pregnancy among HIV-positive women through family planning (FP) services is one of the four cornerstones of a comprehensive program for prevention of mother-to-child HIV transmission (PMTCT). Reducing unintended pregnancies among HIV-positive women would yield a reduction in infections among infants and a reduction in the number of children potentially orphaned when parents die of AIDS-related illnesses. It also reduces HIV-positive women's vulnerability to morbidity and mortality related to pregnancy and lactation. In addition, family planning for both HIV-positive and -negative women safeguards their health by enabling them to space births. This brief focuses on findings from Horizons studies on the extent to which voluntary counseling and testing (VCT) and PMTCT programs address family planning. In Kenya and Zambia, the Horizons Program collaborated with NARESA and the MTCT Working Group, respectively, and UNICEF to document the acceptability, operational barriers, costs, and impact of pilot PMTCT services.

Sign in / Sign up

Export Citation Format

Share Document