title: Unintended pregnancy among HIV-positive pregnant women in Enugu, southeast Nigeria.
abstract: OBJECTIVE
  To determine the prevalence and factors associated with unintended pregnancy among HIV-positive pregnant women in Enugu, southeast Nigeria.
  
  
  METHODS
  A questionnaire-based cross-sectional study was performed of HIV-positive pregnant women receiving prenatal care at two tertiary health institutions in Enugu between March 1 and August 31, 2012. The women were interviewed with a pretested questionnaire.
  
  
  RESULTS
  Overall, 180 HIV-positive pregnant women were recruited, 67 (37.2%) of whom declared that their pregnancy was unintended. Overall, 174 (96.7%) patients were receiving antiretroviral therapy and 99 (55.0%) had future fertility intensions. Participants with regular partners (married or cohabiting) had a significantly higher rate of unintended pregnancy than those with unstable partners (40.3%, n=64/159 vs 14.3%, n=3/21 P=0.029). Age, parity, educational level, and current treatment with antiretroviral therapy did not significantly affect the prevalence of unintended pregnancy.
  
  
  CONCLUSIONS
  A substantial number of HIV-positive pregnant women declared their pregnancies to be unintended. Modern contraceptives should be made readily available and accessible to HIV-positive women to help eliminate mother-to-child transmission of HIV and subsequent new pediatric HIV infections.
authors.affiliation: Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria. Electronic address: ezugwueuzebus@yahoo.com.
authors.forename: Euzebus C
authors.initials: EC
authors.lastname: Ezugwu
authors.affiliation: Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
authors.forename: Chukwuemeka A
authors.initials: CA
authors.lastname: Iyoke
authors.affiliation: Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
authors.forename: Peter O
authors.initials: PO
authors.lastname: Nkwo
authors.affiliation: Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
authors.forename: Hygenius U
authors.initials: HU
authors.lastname: Ezegwui
authors.affiliation: Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
authors.forename: Jude C
authors.initials: JC
authors.lastname: Akabueze
authors.affiliation: Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria; Department of Obstetrics & Gynecology, Enugu State University Teaching Hospital, Parklane, Enugu State, Nigeria.
authors.forename: Polycap U
authors.initials: PU
authors.lastname: Agu
mesh_terms: D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000523:psychology* / Q000821:virology; D049168:Pregnancy, Unplanned / Q000523:psychology*; D011275:Pregnancy, Unwanted / Q000523:psychology*; D011295:Prenatal Care; D015995:Prevalence; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D044966:Anti-Retroviral Agents
keywords: Enugu; HIV infection; Nigeria; Unintended pregnancy; Unplanned pregnancy; Unwanted pregnancy