Department of Obstetrics and Gynecology, Tulane University School of Medicine, New Orleans, Louisiana.
Department of Obstetrics and Gynecology, Women and Infants Hospital/Warren Alpert Medical School of Brown University, Providence, Rhode Island.
J Midwifery Womens Health. 2023 Nov-Dec;68(6):719-727. doi: 10.1111/jmwh.13575. Epub 2023 Oct 30.
People capable of pregnancy are disproportionately affected by HIV. Family planning needs and services are often unmet in this population, and clinical care guidelines regarding contraceptive options and abortion care are not well elucidated. Individuals living with HIV often face unique barriers in accessing contraception and abortion services due to internalized stigma, medically complex care (eg, drug-drug interactions, adverse effects of antiretroviral therapy), and distrust of health care providers. There is also a lack of clarity among reproductive health, primary, and infectious disease care providers on best-practice contraceptive counseling and contraceptive care for individuals living with HIV, given limited opportunities to enhance expertise in reproductive infectious disease. In this review, we summarize existing and updated evidence and clinical considerations regarding contraceptive counseling and abortion care in this population.
妊娠能力人群受 HIV 的影响不成比例。该人群的计划生育需求和服务往往得不到满足，并且关于避孕选择和堕胎护理的临床护理指南也没有得到很好的阐述。由于内化的污名、医疗复杂护理（例如，药物相互作用、抗逆转录病毒疗法的副作用）以及对医疗保健提供者的不信任，艾滋病毒感染者在获得避孕和堕胎服务方面往往面临独特的障碍。由于缺乏机会来增强生殖传染病方面的专业知识，生殖健康、初级保健和传染病护理提供者在为艾滋病毒感染者提供最佳避孕咨询和避孕护理方面也缺乏明确性。在这篇综述中，我们总结了有关该人群避孕咨询和堕胎护理的现有和更新的证据和临床注意事项。
