Consensus statement: Supporting Safer Conception and Pregnancy For Men And Women Living with and Affected by HIV

AIDS and Behavior
Lynn T MatthewsShannon Weber

Abstract

Safer conception interventions reduce HIV incidence while supporting the reproductive goals of people living with or affected by HIV. We developed a consensus statement to address demand, summarize science, identify information gaps, outline research and policy priorities, and advocate for safer conception services. This statement emerged from a process incorporating consultation from meetings, literature, and key stakeholders. Three co-authors developed an outline which was discussed and modified with co-authors, working group members, and additional clinical, policy, and community experts in safer conception, HIV, and fertility. Co-authors and working group members developed and approved the final manuscript. Consensus across themes of demand, safer conception strategies, and implementation were identified. There is demand for safer conception services. Access is limited by stigma towards PLWH having children and limits to provider knowledge. Efficacy, effectiveness, safety, and acceptability data support a range of safer conception strategies including ART, PrEP, limiting condomless sex to peak fertility, home insemination, male circumcision, STI treatment, couples-based HIV testing, semen processing, and fertility care. Lac...Continue Reading

References

Nov 1, 2001·The Cochrane Database of Systematic Reviews·S Weller, K Davis
Mar 1, 2002·The Cochrane Database of Systematic Reviews·S Weller, K Davis
Nov 27, 2004·Health Policy·Jelle StekelenburgIvan N Wolffers
May 29, 2007·Reproductive Health Matters·Thérèse Delvaux, Christiana Nöstlinger
Apr 29, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sharon Straus, R Bryan Haynes
Feb 2, 2010·AIDS·Rose WilcherSimon Gregson
May 21, 2010·AIDS Patient Care and STDs·Sarah Finocchario-KesslerJean R Anderson
Nov 4, 2010·Reproductive Biomedicine Online·Bulent Urman, Kayhan Yakin
Apr 16, 2011·American Journal of Public Health·Carla Makhlouf ObermeyerElisabetta Pegurri
Jul 20, 2011·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Jun 8, 2012·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Mona R LoutfyMark H Yudin
Jul 13, 2012·The New England Journal of Medicine·Jared M BaetenUNKNOWN Partners PrEP Study Team
Jul 13, 2012·The New England Journal of Medicine·Michael C ThigpenUNKNOWN TDF2 Study Group
Nov 6, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Mona R LoutfyMark H Yudin
Feb 15, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Julie E Myers, Kent A Sepkowitz
Oct 4, 2013·Journal of the International AIDS Society·Mona R LoutfyUNKNOWN Women for Positive Action
Oct 23, 2013·AIDS·Rose WilcherJared M Baeten
Feb 15, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Lisa RahangdaleUNKNOWN HOPES (HIV and OB Pregnancy Education Study)

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Citations

Oct 14, 2017·Open Forum Infectious Diseases·Douglas S KrakowerKenneth H Mayer
Apr 12, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Angela KaidaLynn T Matthews
Mar 17, 2020·Global Public Health·Sarah A GutinChelsea Morroni
Feb 6, 2020·AIDS Care·Katherine B RucinskiSheree R Schwartz
Jul 26, 2017·Journal of the International AIDS Society·Lealah C PollockDominika L Seidman
Nov 27, 2018·Southern African Journal of HIV Medicine·Natasha E C G DaviesDoreen S van Zyl
Jun 23, 2019·AIDS and Behavior·Katherine B RucinskiAudrey E Pettifor
Dec 22, 2020·The Journal of the Association of Nurses in AIDS Care : JANAC·Joanne Phillips SimoneDeborah S Storm
Jan 4, 2021·Maternal and Child Health Journal·Roxanne Mirabal-BeltranSarah Finocchario-Kessler
Mar 27, 2021·International Journal of STD & AIDS·Lissa N MandellDeborah L Jones

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Methods Mentioned

BETA
contraception
circumcision

Software Mentioned

EMTCT

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