Abstract
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
Contraceptive use among PWHIV is poorly understood.
Having insurance and increased parity are associated with long-acting reversible contraception
use.
Earlier GA at first prenatal care visit is associated with increased PPBC uptake.
Keywords HIV - postpartum contraception - long-acting reversible contraception - insurance
payor
