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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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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. |
format | Online Article Text |
id | pubmed-3535835 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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