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Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review

HIV-positive women have abortions at similar rates to their HIV-negative counterparts, yet little is known about clinical outcomes of abortion for HIV-positive women or the best practices for abortion provision. To fill that gap, we conducted a literature review of clinical outcomes of surgical and...

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Autores principales: Manski, Ruth, Dennis, Amanda, Blanchard, Kelly, Lince, Naomi, Grossman, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535835/
https://www.ncbi.nlm.nih.gov/pubmed/23316350
http://dx.doi.org/10.1155/2012/802389
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author Manski, Ruth
Dennis, Amanda
Blanchard, Kelly
Lince, Naomi
Grossman, Dan
author_facet Manski, Ruth
Dennis, Amanda
Blanchard, Kelly
Lince, Naomi
Grossman, Dan
author_sort Manski, Ruth
collection PubMed
description HIV-positive women have abortions at similar rates to their HIV-negative counterparts, yet little is known about clinical outcomes of abortion for HIV-positive women or the best practices for abortion provision. To fill that gap, we conducted a literature review of clinical outcomes of surgical and medication abortion among HIV-positive women. We identified three studies on clinical outcomes of surgical abortion among HIV-positive women; none showed significant differences in infectious complications by HIV status. A review of seven articles on similar gynecological procedures found no differences in complications by HIV status. No studies evaluated medication abortion among HIV-positive women. However, we did find that previously expressed concerns regarding blood loss and vomiting related to medication abortion for HIV-positive women are unwarranted based on our review of data showing that significant blood loss and vomiting are rare and short lived among women. We conclude that although there is limited research that addresses clinical outcomes of abortion for HIV-positive women, existing data suggest that medication and surgical abortion are safe and appropriate. Sexual and reproductive health and HIV integration efforts must include both options to prevent maternal mortality and morbidity and to ensure that HIV-positive women and women at risk of HIV can make informed reproductive decisions.
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spelling pubmed-35358352013-01-11 Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review Manski, Ruth Dennis, Amanda Blanchard, Kelly Lince, Naomi Grossman, Dan AIDS Res Treat Review Article HIV-positive women have abortions at similar rates to their HIV-negative counterparts, yet little is known about clinical outcomes of abortion for HIV-positive women or the best practices for abortion provision. To fill that gap, we conducted a literature review of clinical outcomes of surgical and medication abortion among HIV-positive women. We identified three studies on clinical outcomes of surgical abortion among HIV-positive women; none showed significant differences in infectious complications by HIV status. A review of seven articles on similar gynecological procedures found no differences in complications by HIV status. No studies evaluated medication abortion among HIV-positive women. However, we did find that previously expressed concerns regarding blood loss and vomiting related to medication abortion for HIV-positive women are unwarranted based on our review of data showing that significant blood loss and vomiting are rare and short lived among women. We conclude that although there is limited research that addresses clinical outcomes of abortion for HIV-positive women, existing data suggest that medication and surgical abortion are safe and appropriate. Sexual and reproductive health and HIV integration efforts must include both options to prevent maternal mortality and morbidity and to ensure that HIV-positive women and women at risk of HIV can make informed reproductive decisions. Hindawi Publishing Corporation 2012 2012-12-18 /pmc/articles/PMC3535835/ /pubmed/23316350 http://dx.doi.org/10.1155/2012/802389 Text en Copyright © 2012 Ruth Manski et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Manski, Ruth
Dennis, Amanda
Blanchard, Kelly
Lince, Naomi
Grossman, Dan
Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review
title Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review
title_full Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review
title_fullStr Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review
title_full_unstemmed Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review
title_short Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review
title_sort bolstering the evidence base for integrating abortion and hiv care: a literature review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3535835/
https://www.ncbi.nlm.nih.gov/pubmed/23316350
http://dx.doi.org/10.1155/2012/802389
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