| Autor: |
N’guessan, Edouard, Gbeli, Franck, Dia, Jean-Marc, Guie, Privat, Roseline, Nguessan Kouame |
| Zdroj: |
The Journal of Obstetrics and Gynecology of India; February 2020, Vol. 70 Issue: 1 p64-68, 5p |
| Abstrakt: |
Background: Immediate postpartum intrauterine device (PPIUD) is a good solution for reducing low contraceptive coverage in developing countries. However, its use in HIV-infected women is poorly documented. The objective of this study was to assess whether the risk of PPIUD complications was higher in HIV-infected women. Methods: A retrospective cohort study compared 64 HIV-infected women to 128 HIV-negative women who had had a PPIUD at the University Hospital of Treichville between January 2016 and March 2017, with a match at the insertion time of the PPIUD. The complications considered were pelvic pain, metrorrhagia and genital infections. Chi-squared test and relative risk were used to investigate the association between HIV infection and PPIUD complications. Results: HIV-infected patients had an average age of 33.1 years, and 85.9% of them were on antiretroviral therapy. PPIUD was inserted during cesarean section in 66.1% of cases. There was no significant association between HIV infection and PPIUD complications (RR = 0.7, 95% CI [0.4–1.3], p= 0.3). The risk of genital infections was not increased in HIV-infected women (RR = 0.6 [0.1–2.7], p= 0.7). Conclusion: HIV infection does not increase the risk of PPIUD complications. This effective contraceptive strategy can be offered to HIV-infected women. It is therefore necessary to strengthen the training of maternity staff in the installation of PPIUD. |
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