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Long term engagement in HIV care among postpartum women with perinatal HIV infection in the United States

Bibliographic Data

ID19440774
AuthorsChristina M Meade (0000-0003-1233-4334, Emory University), Sophia Ahmed Hussen (0000-0002-5726-1637, Emory University), Florence Momplaisir (0000-0002-6287-0373, Drexel University), Martina Badell, Martina L Badell (0000-0003-1793-9666, Emory University), Stephanie Hackett (0000-0002-8049-9416, Grady Health System), Anandi N Sheth (0000-0002-6305-2727, Emory University, corresponding author)
Year2018
Volume30
Issue4
Pages488-492
Publication date2018-04-03
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2017.1417531
PMID29254363
OpenAlexW2780986971
LanguageEN
Citations received1
References cited23

Despite growing literature on pregnancy in women with perinatally-acquired HIV infection (PHIV), little is known regarding HIV and reproductive health outcomes postpartum. We describe pregnancy, reproductive, and HIV care outcomes for 2 years postpartum among pregnant women with PHIV who delivered in a large urban health system in Atlanta, Georgia, USA from 2011–2016. We reviewed medical records of women with PHIV to estimate retention in HIV care (two HIV care visits or viral load measurements >90 days apart) and viral suppression (<200 copies/mL) at 12 and 24 months postpartum. Among 22 pregnant women with PHIV, 13 (59%) had a CD4 count of less than 300 cells/mm3 at the time of antenatal care entry; most (n = 13, 59%) women achieved viral suppression at time of delivery. Three quarters of women attended a postpartum HIV primary care visit, within an average of 193 (range 17–727) days. Only 4 (20%) women were retained and 3 (15%) virally suppressed at 12 postpartum, and 2 (12%) were retained and none virally suppressed at 24 months. Despite the unique challenges they face, multidisciplinary efforts are needed to engage women with PHIV during pregnancy and facilitate the transition to sustained HIV primary care in the postpartum period

Family medicine · Medical record · Obstetrics · Postpartum period · Pregnancy · Viral load · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Internal Medicine

  • Antiretroviral adherence among people living with HIV during the postpartum period

    Fellipe Pinheiro Lattanzi, Maria Isabel Fragoso Da Silveira Gouvêa et al.•AIDS Care•2024

  • A qualitative study on factors impacting HIV care adherence among postpartum HIV-infected women in the rural southeastern USA

    Amelia K Boehme, Susan L Davies et al.•AIDS Care•2014

  • Pregnancy in women with perinatally acquired HIV-infection

    Usha K Phillips, M Rosenberg et al.•AIDS Care•2011

  • Adherence to antiretroviral treatment among pregnant and postpartum HIV-infected women

    Claude Ann Mellins, C Chu et al.•AIDS Care•2008

  • The Adequacy of Prenatal Care Utilization Index

    Milton Kotelchuck•American Journal of Public Health•1994

Citations per year0.5
Citation span2024 - 2024 (1)
Highly citedNo
Open DOISci-Hub
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