Objective This study aimed to elucidate factors contributing to uptake of highly effective contraception, including permanent contraception, and no contraceptive plan among postpartum people with HIV (PWHIV).

Study Design A retrospective cohort analysis was conducted to correlate postpartum birth control (PPBC) with sociodemographic and biomedical variables among postpartum PWHIV who received care at The Ruth M. Rothstein CORE Center and delivered at John H. Stroger, Jr. Hospital of Cook County in Chicago, from 2012 to 2020.

Results Earlier gestational age (GA) at initiation of prenatal care, having insurance, and increased parity are associated with uptake of highly effective contraception. Meanwhile, later GA at presentation increased odds of having no PPBC plan.

Conclusion Early prenatal care, adequate insurance coverage, and thorough PPBC counseling are important for pregnant PWHIV.

Key Points

目的 本研究旨在阐明产后艾滋病毒感染者 (PWHIV) 采取高效避孕措施的因素，包括永久避孕和无避孕计划。

研究设计 对在 Ruth M. Rothstein CORE 中心接受护理并在库克县 John H. Stroger, Jr. 医院分娩的产后 PWHIV 进行回顾性队列分析，将产后节育 (PPBC) 与社会人口统计学和生物医学变量相关联。芝加哥，2012 年至 2020 年。

结果 开始产前护理时较早孕龄（GA）、购买保险以及增加胎次与采用高效避孕措施有关。与此同时，后来的 GA 演示增加了没有 PPBC 计划的可能性。

结论 早期产前护理、充足的保险范围和彻底的 PPBC 咨询对于怀孕 PWHIV 非常重要。

关键点