Acceptance of HIV-infected patients in assisted reproductive technique protocols

Maturitas
Yannick ManigartAnnick Delvigne

Abstract

To assess the adequacy of a multidisciplinary approach providing information to couples affected by HIV before ART. Prospective observational study. RT centre and infectious disease clinic, public university hospital. 50 couples with at least one HIV-infected partner. Multidisciplinary approach towards ART by various intervening physicians (specialist in fertility, infectious diseases, paediatrics, obstetrics, psychiatry). We analysed specifically the cases in which the staff did not accept and the patient's compliance to the counselling procedures. 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). Because of the high refusal rate and the drop of rate, a multidisciplinary approach is mandatory before initiating ART in seropositive couples.

References

May 10, 2001·JAMA : the Journal of the American Medical Association·L MandelbrotUNKNOWN Agence Nationale de Recherches sur le SIDA (ANRS) 075 Study Group
Jun 27, 2001·Human Reproduction·Y EnglertA Delbaere
Jul 4, 2002·JAMA : the Journal of the American Medical Association·Alejandro DorenbaumUNKNOWN International PACTG 316 Team
Dec 14, 2002·AIDS·Oriol CollPier-Angelo Tovo
Jun 28, 2005·Human Reproduction·P TerriouR Roulier
Apr 6, 2006·Fertility and Sterility·Leila C G FrodshamCarole Gilling-Smith
Apr 6, 2006·Fertility and Sterility·Eric S Daar, Judith F Daar

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