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Preconception Counseling and Care in the Setting of HIV: Clinical Characteristics and Comorbidities
Joint Authors
Boelig, Rupsa C.
Coleman, Jenell S.
Keller, Jean
Sewell, Catherine
Anderson, Jean R.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-08
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To describe the demographic and clinical characteristics of HIV-infected individuals and HIV-affected couples who were referred for preconception counseling (PCC) at a large urban US-based HIV clinic.
Methods.
Electronic medical records were reviewed for HIV-infected individuals and HIV-affected couples.
Medical, reproductive, surgical, psychosocial, and family history data were abstracted.
Univariate analyses were done.
Results.
There were 8 single HIV-infected women and 100 HIV-affected couples who underwent PCC.
HIV-infected women were older (mean age 35 years versus 32 years, P=0.06), were more likely to smoke (23% versus 0%, P<0.01), and had more medical comorbidities (57% versus 33%, P=0.04) than HIV-uninfected women.
The majority of couples were serodiscordant (77%), and of these couples, 32% had a detectable plasma viral load and 33% report inconsistent condom use.
Conclusions.
HIV-infected women have a number of medical and psychosocial issues, including those related to HIV that may increase the risk of adverse pregnancy outcomes and HIV perinatal and sexual transmission.
PCC is an important intervention to optimize maternal management to improve perinatal outcomes and minimize transmission risks.
American Psychological Association (APA)
Boelig, Rupsa C.& Coleman, Jenell S.& Keller, Jean& Sewell, Catherine& Anderson, Jean R.. 2015. Preconception Counseling and Care in the Setting of HIV: Clinical Characteristics and Comorbidities. Infectious Diseases in Obstetrics and Gynecology،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1064374
Modern Language Association (MLA)
Boelig, Rupsa C.…[et al.]. Preconception Counseling and Care in the Setting of HIV: Clinical Characteristics and Comorbidities. Infectious Diseases in Obstetrics and Gynecology No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1064374
American Medical Association (AMA)
Boelig, Rupsa C.& Coleman, Jenell S.& Keller, Jean& Sewell, Catherine& Anderson, Jean R.. Preconception Counseling and Care in the Setting of HIV: Clinical Characteristics and Comorbidities. Infectious Diseases in Obstetrics and Gynecology. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1064374
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064374