Repeat pregnancy in women with HIV infection in Latin America and the Caribbean

Detalhes bibliográficos
Autor(a) principal: Kreitchmann, Regis
Data de Publicação: 2015
Outros Autores: Megazzini, Karen, Melo, Victor Hugo, Fernandes Coelho, Débora, Watts, D. Heather, Krauss, Margot, Gouvea, Maria Isabel, Duarte, Geraldo, Losso, Marcelo H., Siberry, George K.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/32363
Resumo: Maria Isabel Fragoso da Silveira Gouvêa. Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.
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spelling Kreitchmann, RegisMegazzini, KarenMelo, Victor HugoFernandes Coelho, DéboraWatts, D. HeatherKrauss, MargotGouvea, Maria IsabelDuarte, GeraldoLosso, Marcelo H.Siberry, George K.2019-04-04T14:01:20Z2019-04-04T14:01:20Z2015KREITCHMANN, Regis et al. Repeat pregnancy in women with HIV infection in Latin America and the Caribbean. AIDS Care, v. 27, n. 10, p. 1289-1297, 2015.0954-0121https://www.arca.fiocruz.br/handle/icict/3236310.1080/09540121.2015.10509871678-4227Maria Isabel Fragoso da Silveira Gouvêa. Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.2020-04-05Irmandade da Santa Casa de Misericórdia de Porto Alegre. Porto Alegre, RS, Brasil.Westat. Rockville, MD, USA.Federal University of Minas Gerais. Belo Horizonte, MG, BrazilIrmandade da Santa Casa de Misericórdia de Porto Alegre. Porto Alegre, RS, Brasil.U.S. Department of State. Office of the Global AIDS Coordinator. Washington D.C., USA.Westat. Rockville, MD, USA.Hospital Federal dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.University of São Paulo. Faculty of Medicine of Ribeirão Preto. Ribeirão Preto. Ribeirão Preto, SP, Brazil.Hospital General de Agudos José María Ramos Mejía. HIV Unit. Buenos Aires, Argentina.National Institutes of Health. Eunice Kennedy Shriver National Institute of Child Health and Human Development. Maternal Pediatric Infectious Disease Branch. Bethesda, MD, USA.Intended and unintended pregnancies occur frequently among human immunodeficiency virus (HIV)-infected women. We evaluated the occurrence of repeat pregnancy and characteristics associated with this outcome among HIV-infected women in Latin America and the Caribbean who were participating in the National Institute of Child Health and Human Development (NICHD) International Site Development Initiative (NISDI). Of the 1342 HIV-infected pregnant women enrolled in NISDI, 124 (9.2%) had one or more repeat pregnancies on study. Median time between the index delivery and date of conception of the subsequent pregnancy was 1.4 years (range 0.1-5.7). Younger age (odds ratio [OR] = 1.07, 95% confidence interval [CI]: 1.04-1.11 per one year decrease in age), hospitalization during the index pregnancy or up to six months post-partum [OR = 2.0, 95% CI: 1.2-3.4], and poor index pregnancy outcome (stillbirth or spontaneous/therapeutic abortion; OR = 3.4, 95% CI: 1.4-8.4) were associated with increased occurrence of repeat pregnancy in multivariable analysis. Among women with repeat pregnancies, the proportion receiving antiretroviral treatment (vs. prophylaxis) increased from 39.4% at the time of the index pregnancy to 81.8% at the time of the repeat pregnancy (p < 0.001). These results can help identify women most likely to benefit from reproductive counseling in order to assist with healthy pregnancy planning and prevention of unintended pregnancies.engAcademia Brasileira de NeurologiaRepeat pregnancy in women with HIV infection in Latin America and the Caribbeaninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHIVPredictors of repeat pregnancyPregnancyLatin Americainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83104https://www.arca.fiocruz.br/bitstream/icict/32363/1/license.txt79178e5f2a0eb066867a274556814938MD51ORIGINALve_ Kreitchmann_Regis_etal_INI_2016.pdfve_ Kreitchmann_Regis_etal_INI_2016.pdfapplication/pdf503162https://www.arca.fiocruz.br/bitstream/icict/32363/2/ve_%20Kreitchmann_Regis_etal_INI_2016.pdf9db62c30f29255b3ce8570c9b1e3d498MD52TEXTve_ 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dc.title.pt_BR.fl_str_mv Repeat pregnancy in women with HIV infection in Latin America and the Caribbean
title Repeat pregnancy in women with HIV infection in Latin America and the Caribbean
spellingShingle Repeat pregnancy in women with HIV infection in Latin America and the Caribbean
Kreitchmann, Regis
HIV
Predictors of repeat pregnancy
Pregnancy
Latin America
title_short Repeat pregnancy in women with HIV infection in Latin America and the Caribbean
title_full Repeat pregnancy in women with HIV infection in Latin America and the Caribbean
title_fullStr Repeat pregnancy in women with HIV infection in Latin America and the Caribbean
title_full_unstemmed Repeat pregnancy in women with HIV infection in Latin America and the Caribbean
title_sort Repeat pregnancy in women with HIV infection in Latin America and the Caribbean
author Kreitchmann, Regis
author_facet Kreitchmann, Regis
Megazzini, Karen
Melo, Victor Hugo
Fernandes Coelho, Débora
Watts, D. Heather
Krauss, Margot
Gouvea, Maria Isabel
Duarte, Geraldo
Losso, Marcelo H.
Siberry, George K.
author_role author
author2 Megazzini, Karen
Melo, Victor Hugo
Fernandes Coelho, Débora
Watts, D. Heather
Krauss, Margot
Gouvea, Maria Isabel
Duarte, Geraldo
Losso, Marcelo H.
Siberry, George K.
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Kreitchmann, Regis
Megazzini, Karen
Melo, Victor Hugo
Fernandes Coelho, Débora
Watts, D. Heather
Krauss, Margot
Gouvea, Maria Isabel
Duarte, Geraldo
Losso, Marcelo H.
Siberry, George K.
dc.subject.en.pt_BR.fl_str_mv HIV
Predictors of repeat pregnancy
Pregnancy
Latin America
topic HIV
Predictors of repeat pregnancy
Pregnancy
Latin America
description Maria Isabel Fragoso da Silveira Gouvêa. Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.
publishDate 2015
dc.date.issued.fl_str_mv 2015
dc.date.accessioned.fl_str_mv 2019-04-04T14:01:20Z
dc.date.available.fl_str_mv 2019-04-04T14:01:20Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv KREITCHMANN, Regis et al. Repeat pregnancy in women with HIV infection in Latin America and the Caribbean. AIDS Care, v. 27, n. 10, p. 1289-1297, 2015.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/32363
dc.identifier.issn.pt_BR.fl_str_mv 0954-0121
dc.identifier.doi.none.fl_str_mv 10.1080/09540121.2015.1050987
dc.identifier.eissn.none.fl_str_mv 1678-4227
identifier_str_mv KREITCHMANN, Regis et al. Repeat pregnancy in women with HIV infection in Latin America and the Caribbean. AIDS Care, v. 27, n. 10, p. 1289-1297, 2015.
0954-0121
10.1080/09540121.2015.1050987
1678-4227
url https://www.arca.fiocruz.br/handle/icict/32363
dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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