Factors related to medical appointment attendance after childbirth among HIV-infected women in the Paris region

Bibliographic Data

ID19439599
AuthorsD Lemly (a Assistance Publique-Hopitaux de Paris , Hôpital Louis Mourier, Service de Gynecologie-Obstretrique , Colombes , France), Diana C Lemly (Assistance Publique – Hôpitaux de Paris), Laurent Mandelbrot (0000-0002-5883-7597, Hôpital Louis-Mourier, corresponding author), F Meier (0000-0002-6169-0055, a Assistance Publique-Hopitaux de Paris , Hôpital Louis Mourier, Service de Gynecologie-Obstretrique , Colombes , France), Ghislaine Firtion (Assistance Publique – Hôpitaux de Paris), Sophie Matheron (0000-0001-7879-6553, Assistance Publique – Hôpitaux de Paris), Vincent Jeantils (Assistance Publique – Hôpitaux de Paris), Theresa A Scott (0000-0003-1832-7020, Vanderbilt University)
Year2007
Volume19
Issue3
Pages346-354
Publication date2007-03-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00033790600658444
PMID17453568
OpenAlexW1967395644
LanguageEN
Citations received1
References cited20

This study examined factors related to medical appointment attendance after childbirth among HIV-infected women in the Paris region. We hypothesized that despite regular utilization of prenatal care, many women may not attend medical appointments after delivery for their own HIV infection. This was an observational cohort study of HIV-seropositive women delivering in four Paris hospitals in 2001. Follow-up attendance through 24 months after delivery was defined as 'regular' for women who had > or =4 HIV visits during the period, 'irregular' for 12 months, and 'no attendance' when < or =1 visit in the 2-year period. Of 169 women enrolled, 125 (75%) had regular attendance, 24 (14%) had irregular attendance, and 18 (11%) had no attendance. Multivariate analysis found the greater number of HIV visits during pregnancy and the prescription of combination therapy (versus zidovudine monotherapy) during pregnancy to be significantly related to regular attendance. Of the 18 women who had no attendance, 8 women (47%) continued to attend regular paediatric appointments with their infants during the 24-month period. Scheduling more frequent HIV visits during pregnancy may establish a pattern that will improve attendance during the post-partum period. In addition, increased communication between the health care providers of the mother and child may increase appointment attendance following delivery

Attendance · Childbirth · Family medicine · Medical prescription · Multivariate analysis · Obstetrics · Pregnancy · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Internal Medicine · Pediatrics

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