TY - JOUR
T1 - Pregnancies in Perinatally HIV-Infected Young Women and Implications for Care and Service Programs
AU - Millery, Mari
AU - Vazquez, Seydi
AU - Walther, Virginia
AU - Humphrey, Natalie
AU - Schlecht, Jennifer
AU - Van Devanter, Nancy
PY - 2012/1
Y1 - 2012/1
N2 - A cohort of individuals with perinatally acquired HIV is maturing into reproductive age. This study describes pregnancy incidence and outcomes among females ages 15-25 with perinatally acquired HIV infection receiving comprehensive family-centered services in New York City. Chart reviews from 1998-2006 indicated 33 pregnancies among 96 young women. Twenty-six percent of the cohort experienced a pregnancy during the study period, with a rate of 125 per 1,000 person years in 2006. The age of first pregnancy ranged from 15-25; 24% were younger than 18. Fourteen pregnancies (42%) were terminated. Nineteen pregnancies resulted in live births, and all infants tested negative for HIV. The success of preventing vertical HIV transmission is attributed to interdisciplinary family-centered services, including reproductive health education, family planning, obstetric-gynecologic services and psychosocial support. Such approach is most likely to be effective at promoting healthy reproductive decisions and reducing morbidity in perinatally infected mothers and their children.
AB - A cohort of individuals with perinatally acquired HIV is maturing into reproductive age. This study describes pregnancy incidence and outcomes among females ages 15-25 with perinatally acquired HIV infection receiving comprehensive family-centered services in New York City. Chart reviews from 1998-2006 indicated 33 pregnancies among 96 young women. Twenty-six percent of the cohort experienced a pregnancy during the study period, with a rate of 125 per 1,000 person years in 2006. The age of first pregnancy ranged from 15-25; 24% were younger than 18. Fourteen pregnancies (42%) were terminated. Nineteen pregnancies resulted in live births, and all infants tested negative for HIV. The success of preventing vertical HIV transmission is attributed to interdisciplinary family-centered services, including reproductive health education, family planning, obstetric-gynecologic services and psychosocial support. Such approach is most likely to be effective at promoting healthy reproductive decisions and reducing morbidity in perinatally infected mothers and their children.
KW - Perinatally acquired HIV
KW - Pregnancy
KW - Vertical transmission
UR - http://www.scopus.com/inward/record.url?scp=84855313374&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84855313374&partnerID=8YFLogxK
U2 - 10.1016/j.jana.2011.05.008
DO - 10.1016/j.jana.2011.05.008
M3 - Article
C2 - 21820325
AN - SCOPUS:84855313374
SN - 1055-3290
VL - 23
SP - 41
EP - 51
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 1
ER -