Contraception and Abortion Care for People Living With HIV: A Clinical Guide for Reproductive Health Practitioners.
Lanbo YangRebecca H AllenMary Catherine CambouKarin Nielsen-SainesBenjamin Patterson BrownPublished in: Journal of midwifery & women's health (2023)
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.
Keyphrases
- healthcare
- palliative care
- quality improvement
- antiretroviral therapy
- affordable care act
- primary care
- pain management
- infectious diseases
- mental health
- hiv infected
- hiv positive
- human immunodeficiency virus
- emergency department
- hiv testing
- smoking cessation
- depressive symptoms
- adverse drug
- chronic pain
- clinical practice
- social media
- south africa
- social support
- men who have sex with men