Review Article
Preconception and Contraceptive Care for Women Living with HIV
Table 3
Potential barriers to preconception counseling and care for women living with HIV.
| Limited visit time | Competing priorities and more immediate concerns related to care of HIV and comorbidities | Reluctance of clinicians and HIV-infected women to discuss reproduction/fertility | Assumptions that HIV-positive women donnot want to become pregnant | Effects of the stigma associated with HIV | Challenges associated with lack of empowerment or control in sexual matters among HIV-infected women | Lack of knowledge about contraceptive counseling and PCC among HIV care providers | Lack of knowledge about HIV-specific elements of PCC and counseling among obstetricians and gynecologists (OB/GYNs) | Lack of clearly defined roles for multiple clinicians, for example, HIV provider, OB/GYN, primary care provider |
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