@article{fdi:010018215,
  title = {{I}mpaired fertility in {HIV}-1-infected pregnant women : a clinic-based survey in {A}bidjan, {C}{\^o}te d'{I}voire, 1997},
  author = {{D}esgr{\'e}es du {L}oû, {A}nnabel and {M}sellati, {P}hilippe and {Y}ao, {A}. and {N}oba, {V}. and {V}iho, {I}. and {R}amon, {R}. and {W}elffens-{E}kra, {C}. and {D}abis, {F}.},
  editor = {},
  language = {{ENG}},
  abstract = {{D}ifferences in fertility among {HIV}-1-positive and {HIV}-negative women tested in prenatal clinics were suspected by routine data collection in {A}bidjan, {C}{\^o}te d'{I}voire. {T}his study was conducted on detailed fertility patterns among women at the same antenatal care centres, in order to assess these differences. {T}he survey was carried out on 1201 consecutive women who agreed to be tested for {HIV}. {D}ata collected included a detailed account of pregnancies, the time interval between the last two pregnancies, and the health status at the time of the survey. {B}lood samples were tested for {HIV} and syphilis with informed consent. {D}espite an earlier exposure to pregnancy risk, {HIV}-1-infected women aged 25 years and above, had, on the average, fewer pregnancies than uninfected women. {A}n analysis of the interval between the last two pregnancies among multigravidae showed that, all things being equal, being {HIV}-1 positive decreased the risk of being pregnant by 17% ({C}ox regression, hazard ratio = 0.83, 95% confidence interval ({CI}) : 0.69-0.99). {T}his shift in the occurrence of the last pregnancy was more profound among {HIV}-1 positive women already at the symptomatic or {AIDS} stage, than among asymptomatic women. {T}hese data confirm that women infected by {HIV}-1 would become pregnant less often than uninfected women, for an equal exposure to the risk of pregnancy. {T}herefore {HIV}-1-positive women could be under-represented at antenatal centres. {P}rogrammes involving such settings both for epidemiological surveillance and the reduction of mother-to-child transmission should take this observation into account. ({R}{\'e}sum{\'e} d'auteur)},
  keywords = {{SIDA} ; {FEMME} ; {FECONDITE} ; {ETUDE} {D}'{IMPACT} ; {ENQUETE} ; {COTE} {D}'{IVOIRE} ; {ABIDJAN}},
  booktitle = {},
  journal = {{AIDS}},
  volume = {13},
  numero = {4},
  pages = {517--521},
  ISSN = {0269-9370},
  year = {1999},
  DOI = {10.1097/00002030-199903110-00011},
  URL = {https://www.documentation.ird.fr/hor/fdi:010018215},
}