Journal of the International Association of Providers of AIDS Care (Sep 2014)

Self-Reported Preconception Care of HIV-Positive Women of Reproductive Potential

  • Mona R. Loutfy MD, MPH,
  • Sandra Blitz MSc,
  • Yimeng Zhang MD,
  • Trevor A. Hart PhD,
  • Sharon L. Walmsley MD, MSc,
  • Fiona M. Smaill MD,
  • Anita R. Rachlis MD,
  • Mark H. Yudin MD, MSc,
  • Jonathan B. Angel MD,
  • Edward D. Ralph MD,
  • Wangari Tharao MEd,
  • Janet M. Raboud PhD,

DOI
https://doi.org/10.1177/2325957413494238
Journal volume & issue
Vol. 13

Abstract

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Objectives: We determined the proportion and correlates of self-reported pregnancy planning discussions (that is preconception counseling) that HIV-positive women reported to their family physicians (FPs), HIV specialists, and obstetrician/gynecologists (OB/Gyns). Methods: In a cross-sectional substudy, HIV-positive women of reproductive potential were asked whether their care providers discussed pregnancy planning. Logistic regression was used to calculate odds ratios for the correlates of preconception counseling. Results: A total of 431 eligible participants (median age 38, interquartile range = 32-43) reported having discussion with a physician (92% FP, 96% HIV specialists, and 45% OB/Gyns). In all, 34%, 41%, and 38% had their pregnancy planning discussion with FP, HIV specialist, and Ob/Gyns, respectively; 51% overall. In the multivariable model, significant correlates of preconception counseling were age ( P = .02), marital status ( P < .01), number of years living in Canada ( P < .001), and age of youngest child ( P < .01). Conclusions: Preconception care in our cohort was suboptimal. We recommend that counseling on healthy preconception should be part of routine HIV care.