Working with Women and AIDS: Medical, Social, and Counselling Issues

By Judy Bury; Val Morrison et al. | Go to book overview

4

Pregnancy, heterosexual transmission and contraception

Judy Bury

By the end of 1991, 1,952 women in the UK had been found to have antibodies to the human immunodeficiency virus. These are women who have come forward for HIV testing and there is general agreement (e.g. Peckham and Newell 1990) that they represent only a small proportion of the total number of women in the UK infected with HIV. More than 90 per cent of women who are known to be HIV positive are of child-bearing age (see Table 4.1) and many have not yet started or completed their families.

Anonymous antenatal screening tests carried out in 1991 found that only 1 in 16,000 pregnant women in the UK was infected with HIV but in some areas of London as many as 1 pregnant woman in 220 was infected (Medical Research Council 1991). In the same year it was found that the prevalence of HIV infection in women who had just given birth in Edinburgh was 2.5 per 1,000, in Dundee 1.4 per 1,000 and in Aberdeen 0.7 per 1,000 (Tappin et al. 1991). A similar study carried out in London provides evidence of a rising HIV prevalence among childbearing women; the prevalence of HIV infection in recently delivered mothers in inner London had risen from

Table 4.1 Age distribution of HIV-antibody positive women at time of test: UK up to 31.12.90

Age group

No. of women with HIV infection*

0-14

88

(6%)

15-24

584

(38%)

25-34

674

(44%)

35-44

133

(9%)

45-54

26

(2%)

55 or over

22

(1%)

Total

1,527

* Table excludes 102 women where age was not stated.

Source: Adapted from Communicable Disease Report (1991) 1(10):46

-43-

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Working with Women and AIDS: Medical, Social, and Counselling Issues
Table of contents

Table of contents

  • Title Page iii
  • Contents vii
  • Tables and Figures ix
  • Foreword xiii
  • Acknowledgements xv
  • Introduction 1
  • Part I - Background Issues 7
  • 1 - Women and the Aids Epidemic 9
  • 2 - Social Issues 23
  • 3 - Reflections on Women and Hiv/Aids in New York City and the United States 32
  • Part II - Contraception and Pregnancy 41
  • 4 - Pregnancy, Heterosexual Transmission and Contraception 43
  • 5 - Pregnancy and Hiv 58
  • References 68
  • Part III - Prostitution 69
  • 6 - Hiv and the Sex Industry 71
  • 7 - Developing a Service for Prostitutes in Glasgow 85
  • References 95
  • Part IV - Education and Counselling Issues 97
  • 8 - Education and the Prevention of Hiv Infection 99
  • 9 - Offering Safer Sex Counselling to Women from Drug-Using Communities 110
  • References 116
  • 10 - Women as Carers 117
  • Part V - Feelings and Needs 123
  • 11 - Feelings and Needs of Women Who Are Hiv Positive 125
  • 12 - Being Positive 135
  • 13 - Poems 142
  • Name Index 146
  • Subject Index 148
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