title: High uptake of postpartum hormonal contraception among HIV-1-seropositive women in Kenya.
abstract: OBJECTIVE
  The objectives of this study were to determine patterns of contraceptive utilization among sexually active HIV-1-seropositive women postpartum and to identify correlates of hormonal contraception uptake.
  
  
  OBJECTIVE
  The goal of this study was to improve delivery of family planning services to HIV-1-infected women in resource-limited settings.
  
  
  METHODS
  HIV-1-infected pregnant women were followed prospectively in a perinatal HIV-1 transmission study. Participants were referred to local clinics for contraceptive counseling and management.
  
  
  RESULTS
  Among 319 HIV-1-infected women, median time to sexual activity postpartum was 2 months and 231 (72%) women used hormonal contraception for at least 2 months during follow-up, initiating use at approximately 3 months postpartum (range, 1-11 months). Overall, 101 (44%) used DMPA, 71 (31%) oral contraception, and 59 (25%) switched methods during follow-up. Partner notification, infant mortality, and condom use were similar between those using and not using contraception.
  
  
  CONCLUSIONS
  Using existing the healthcare infrastructure, it is possible to achieve high levels of postpartum hormonal contraceptive utilization among HIV-1-seropositive women.
authors.affiliation: Department of Epidemiology, University of Washington, Seattle, Washington 98104, USA. jbalkus@u.washington.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Balkus
authors.forename: Rose
authors.initials: R
authors.lastname: Bosire
authors.forename: Grace
authors.initials: G
authors.lastname: John-Stewart
authors.forename: Dorothy
authors.initials: D
authors.lastname: Mbori-Ngacha
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Schiff
authors.forename: Dalton
authors.initials: D
authors.lastname: Wamalwa
authors.forename: Christine
authors.initials: C
authors.lastname: Gichuhi
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Obimbo
authors.forename: Grace
authors.initials: G
authors.lastname: Wariua
authors.forename: Carey
authors.initials: C
authors.lastname: Farquhar
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003278:Contraceptives, Oral, Hormonal / Q000008:administration & dosage*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D015497:HIV-1; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D007630:Kenya / Q000453:epidemiology; D049590:Postpartum Period; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D011446:Prospective Studies; D016387:Women's Health
chemical_list: D003278:Contraceptives, Oral, Hormonal