To determine the prevalence and factors associated with
unintended pregnancy among HIV-positive pregnant women in Enugu, southeast
Nigeria.
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.
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.
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.
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By:
- 1Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria. Electronic address: ezugwueuzebus@yahoo.com.
- 2Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
- 3Department 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
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