title: Postpartum contraceptive preferences of HIV-infected women in the era of highly active antiretroviral therapy (HAART) and scheduled cesarean deliveries.
abstract: BACKGROUND
  We sought to determine if postpartum tubal ligation among HIV-infected women changed with the introduction of highly active antiretroviral therapy (HAART) and scheduled cesarean delivery.
  
  
  METHODS
  Retrospective cohort study of HIV-infected women delivered before (Pre-HAART) and after (Post-HAART) the introduction of HAART and scheduled cesarean delivery. Rates of the primary outcome, postpartum tubal ligation (PPTL), were compared by univariable and multivariable analyses.
  
  
  RESULTS
  We found that 34.5% (60/174) of women in the Post-HAART period chose PPTL, compared to 22.0% (18/82) in the Pre-HAART period [unadjusted OR=1.87 (95% CI 1.02-3.44), p=.04]. When stratified by mode of delivery, rates of PPTL were not significantly different between the two periods. Similarly, in multivariable analysis controlling for confounders, rates of PPTL were not different between the two periods [adjusted OR=1.40 (95% CI=0.66-2.99), p=.39].
  
  
  CONCLUSIONS
  HIV-infected women on HAART are overall more likely to have PPTL, but cesarean delivery appears to be the facilitator of this choice.
authors.affiliation: Department of Obstetrics of Gynecology, Washington University in St Louis School of Medicine, MO 63110, USA. tuulim@wudosis.wustl.edu
authors.forename: Methodius G
authors.initials: MG
authors.lastname: Tuuli
authors.forename: Thinh H
authors.initials: TH
authors.lastname: Duong
authors.forename: Nicole P
authors.initials: NP
authors.lastname: Yost
authors.forename: Jane
authors.initials: J
authors.lastname: Ellis
authors.forename: Charlotte V
authors.initials: CV
authors.lastname: Burke
authors.forename: Patrice L
authors.initials: PL
authors.lastname: Basanta-Henry
authors.forename: Michael
authors.initials: M
authors.lastname: Lindsay
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D002585:Cesarean Section; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D057240:Patient Preference; D049590:Postpartum Period; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy / Q000523:psychology*; D012189:Retrospective Studies; D013246:Sterilization, Tubal / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult