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Infectious Diseases in Obstetrics and Gynecology
Volume 2012 (2012), Article ID 895047, 6 pages
http://dx.doi.org/10.1155/2012/895047
Research Article

The Changing Face of HIV in Pregnancy in Rhode Island 2004–2009

1Department of Medicine, The Warren Alpert Medical School of Brown University, Providence, RI 02912, USA
2Department of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, RI 02912, USA
3Department of Obstetrics and Gynecology, The Warren Alpert Medical School of Brown University, Providence, RI 02912, USA

Received 20 February 2012; Accepted 20 April 2012

Academic Editor: Deborah Cohan

Copyright © 2012 Jacqueline Firth et al. 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.

Abstract

Meeting the needs of HIV-infected pregnant women requires understanding their backgrounds and potential barriers to care and safe pregnancy. Foreign-born women are more likely to have language, educational, and economic barriers to care, but may be even more likely to choose to keep a pregnancy. Data from HIV-infected pregnant women and their children in Rhode Island were analyzed to identify trends in demographics, viral control, terminations, miscarriages, timing of diagnosis, and adherence to followup. Between January 2004 and December 2009, 76 HIV-infected women became pregnant, with a total of 95 pregnancies. Seventy-nine percent of the women knew their HIV status prior to becoming pregnant. Fifty-four percent of the women were foreign-born and 38 percent of the 16 women who chose to terminate their pregnancies were foreign-born. While the number of HIV-infected women becoming pregnant has increased only slightly, the proportion that are foreign-born has been rising, from 41 percent between 2004 and 2005 to 57.5 percent between 2006 and 2009. A growing number of women are having multiple pregnancies after their HIV diagnosis, due to the strength of their desire for childbearing and the perception that HIV is a controllable illness that does not preclude the creation of a family.