Immediate Postpartum Contraception Among HIV-Infected Woman in Chiangrai

Abstract

The objective of this study was to compare acceptance rate of immediate postpartum contraception and other characteristics among HIV-Infected and HIV-non-infected parturients. Delivery logbooks from January 1990 to June1994 were reviewed and 776 HIV-positive females were identified. Data of these woman were abstracted together with those of 1,552 HIV-negative woman whose names were immediately before and after the HIV-infected ones (1:2 ratio). HIV-infected woman were more likely to be younger, have lower number of gravida, have baby with lower birthweight and lower first-minute APGAR score, and accept immediately postpartum contraception. However, the two groups did not differ in terms of mode of delivery. Stratification of acceptance rates of postpartum contraception revealed that the rates among multigravida were not different (39% vs 33%, OR  = 1.30 [0.95-1.77]). However, HIV-infected primigravidous women were more likely that the non-infected to accept contraception (17.9% vs 0.9%, OR = 22.81 [10.03-54.65]). This was probably due to the policy of the hospital in encouraging HIV-infected mothers to adopt permanent or semipermanent methods of contraception.