Acceptance of HIV-infected patients in assisted reproductive technique protocols.
OBJECTIVE
To assess the adequacy of a multidisciplinary approach providing information to couples affected by HIV before ART.


METHODS
Prospective observational study.


METHODS
RT centre and infectious disease clinic, public university hospital.


METHODS
50 couples with at least one HIV-infected partner.


METHODS
Multidisciplinary approach towards ART by various intervening physicians (specialist in fertility, infectious diseases, paediatrics, obstetrics, psychiatry).


METHODS
We analysed specifically the cases in which the staff did not accept and the patient's compliance to the counselling procedures.


RESULTS
Among the 150 couples, 30 did not complete the procedure and were lost to follow-up. The remaining 120 couples were evaluated: 89 couples were accepted, 5 were temporarily refused and 26 were refused definitively. The major reasons for refusal were medical reasons (n=13).


CONCLUSIONS
Because of the high refusal rate and the drop of rate, a multidisciplinary approach is mandatory before initiating ART in seropositive couples.
Manigart
Y
Y
Fertility Clinic, CHU Saint-Pierre, Université Libre de Buxelles, 322 rue Haute, 1000 Brussels, Belgium.
Autin
C
C
Rozenberg
S
S
Barlow
P
P
Hainaut
M
M
Gustin
M-L
ML
Gerard
M
M
Delvigne
A
A
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control*; D000328:Adult; D000465:Algorithms; D001294:Attitude to Health; D015331:Cohort Studies; D003376:Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D033183:Interdisciplinary Communication; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation / Q000523:psychology*; D011446:Prospective Studies; D027724:Reproductive Techniques, Assisted / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult