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Int J Gynaecol Obstet. 2016 Jan;132(1):60-3. doi: 10.1016/j.ijgo.2015.06.039. Epub 2015 Sep 14.

Unintended pregnancy among HIV-positive pregnant women in Enugu, southeast Nigeria.

Author information

1
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria. Electronic address: ezugwueuzebus@yahoo.com.
2
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
3
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria; Department of Obstetrics & Gynecology, Enugu State University Teaching Hospital, Parklane, Enugu State, Nigeria.

Abstract

OBJECTIVE:

To determine the prevalence and factors associated with unintended pregnancy among HIV-positive pregnant women in Enugu, southeast Nigeria.

METHODS:

A questionnaire-based cross-sectional study was performed of HIV-positive pregnant women receiving prenatal care at two tertiary health institutions in Enugu between March 1 and August 31, 2012. The women were interviewed with a pretested questionnaire.

RESULTS:

Overall, 180 HIV-positive pregnant women were recruited, 67 (37.2%) of whom declared that their pregnancy was unintended. Overall, 174 (96.7%) patients were receiving antiretroviral therapy and 99 (55.0%) had future fertility intensions. Participants with regular partners (married or cohabiting) had a significantly higher rate of unintended pregnancy than those with unstable partners (40.3%, n=64/159 vs 14.3%, n=3/21 P=0.029). Age, parity, educational level, and current treatment with antiretroviral therapy did not significantly affect the prevalence of unintended pregnancy.

CONCLUSION:

A substantial number of HIV-positive pregnant women declared their pregnancies to be unintended. Modern contraceptives should be made readily available and accessible to HIV-positive women to help eliminate mother-to-child transmission of HIV and subsequent new pediatric HIV infections.

KEYWORDS:

Enugu; HIV infection; Nigeria; Unintended pregnancy; Unplanned pregnancy; Unwanted pregnancy

PMID:
26433467
DOI:
10.1016/j.ijgo.2015.06.039
[Indexed for MEDLINE]

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