Factores asociados a la aceptación de salpingoclasia posparto entre mujeres infectadas por el VIH

Résumé 0

"Objective. To identify the factors associated with the acceptanceof tubal ligation after childbirth among HIV-infectedpatients. Material and methods. A case-control studywas conducted from March 1988 to February 1999, at Mexico’sNational Institute of Perinatology (INPer), in 72 HIVpositivepregnant women. Cases were 49 women whoaccepted postpartum tubal ligation after childbirth, and controlswere 23 women who refused this birth control method.Data collected for each patient were demographiccharacteristics, sexual and reproductive history, and HIVstatus. Statistical analysis consisted of descriptive measures,Chi2 or Fisher’s exact test for categorical variables, and Student’st test for continuous variables. Odds ratios (OR) with95% CI were used to compare groups and potential confounderswere assessed by stratified analysis with the Mantel-Haenszel method. Results. The patients’ mean age was25.5 ± 5.5 years. The median gestation period was 27 weeks(range 7 to 40 weeks); 16 women (22.2%) had no prenatalcare visits at INPer. The median time of HIV positivist awarenesswas 9 months (range 1 to 108). Variables associatedwith acceptance of tubal ligation were: having a prior childbirth(OR 11.1, 95% CI 3.4 to 36), pregnancy care from1995 onward (OR 4.7, 95% CI 1.7 to 13.3), and having givenbirth to an HIV-infected child (OR 4.6, 95% CI 1.05 to 23.1).Stratified analysis showed no modification of the strengthof association of these variables with acceptance of tuballigation. Conclusions. A prior childbirth was the most importantpredictor of tubal ligation acceptance. The Englishversion of this paper is available at: http://www.insp.mx/salud/index.html"