Eka Rusdianto Gunardi
Background: Prevention of unintended pregnancy among HIV positive women is the second element of prevention of mother to child transmission of HIV. Contraceptive use in Indonesia remains low, despite the potential contribution of family planning (FP) to the prevention of HIV infection and unintended pregnancy. It is anticipated that this research will update existing knowledge, inform policy makers and programmers to support safer and healthier reproductive options among HIV positive women in the study area.
Methods: The study was conducted in Cipto Mangunkusumo Hospital Jakarta, Indonesia, since January 1st 2013 until December 31st 2014. Of the original cohort of 5499 women delivered in 2013-2014, 65 were HIV positive. The 58 subjects in this study were selected from each group of HIV positive women and HIV negative who had delivery in this hospital either by emergency admission or elective caesarean section.
Results: There were a total of 5449 deliveries, during the study period, out of which 65 were HIV positive women (1,2%). From 58 randomly selected patients, the mean age of HIV positive mothers was 27,74 ± 4,73 years. Their parity ranged from zero to five. With significantly uses of long acting contraception as IUD and sterilization on HIV-positive women as well as booked cased patients.Conclusions: The high rates of unintended pregnancies in the sample of HIV positive women suggest that the WHO’s strategy of preventing unintended pregnancies amongst HIV positive women to minimise vertical transmission of HIV must be reinforced. Long acting and permanent methods could fill an important gap in family planning services in Indonesia given women’s stated fertility preferences indicating a strong desire to either not have a future pregnancy or to wait several years before the birth of their next child.