Postpartum women living with HIV: Challenges related to retention in care, treatment adherence, and mental health


Key take-home messages
  • Postpartum women living with HIV may find it challenging to remain engaged in HIV care and achieve optimal adherence to antiretroviral medications.
  • Late entry or suboptimal engagement in care prior to delivery is associated with poor engagement in care in the postpartum period.
  • Some studies have identified that adherence to antiretroviral therapy can decrease during the postpartum period. One systematic review found that only about 74% of postpartum women living with HIV achieve optimal adherence to antiretroviral therapy.
  • Psychiatric symptoms, particularly depression, can impact well-being, quality of life, and other important clinical outcomes among pregnant and postpartum women living with HIV.
  • The Perinatal Case Management intervention, designed specifically for pre- and postpartum women living with HIV, improved retention in HIV care and antiretroviral adherence outcomes among a U.S. population.


The Ontario HIV Treatment Network: Rapid Response Service




  • Epidemiology and Determinants of Health
    • Epidemiology
  • Population(s)
    • Women
    • Children or Youth (less than 18 years old)
    • General HIV+ population
  • Engagement and Care Cascade
    • Retention in care
    • Treatment
  • Mental Health
    • Depression


Abstract/Full paper

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