Speaker Biography

Posokhova Svitlana Petrivna

Odesa National Medical University, Ukraine

Title: The rate of complications in the copper intrauterine device use among HIV positive women with postpartum inserting

Posokhova Svitlana Petrivna
Biography:

Posokhova Svitlana Petrivna  graduated from Chernovitskiy Medical Institute. postgraduate education in National medical University (Kiev). Chief of obstetrics department in Odessa Oblast Clinical Hospital. Assistant Professor in Odessa State Medical University. Associate Professor, Defended his dissertations: for the degree of Candidate of Science – in 1998, for the degree of Doctor of Science – in 2008. Beginning from 2009 until now she is professor of Obstetrics and Gynaecology Odessa national Medical University, director of Odessa oblast perinatal center (since 1994).

Scientific work of Posokhova are a significant contribution into the evolvement of national and world medicine in the fields of reproductive health, high risk pregnancy, HIV/AIDS, PMTCT and novel reproductive technologies. She international activities promote the recognition of Ukraine in scientific and social domains. She had 158 publications including 2 monographs

Abstract:

HIV/AIDS epidemic in Ukraine continues increasing. The problem of prevention of
unintended pregnancies among women infected with HIV is important. The new data show, that
intrauterine device (IUD) can be safely used by women living with HIV/AIDS, who are
clinically healthy or receive antiretroviral therapy (ART)
Objectives. Our case-control study had the aim to determine whether IUD-related complications
after postpartum insertion are more common among HIV positive than among HIV negative
women.
Methods. We selected purposively 88 postpartum HIV positive women with median counts of
CD4+ > 350 cells and 45 HIV negative women in the maternal wards. Our examination
included: the general blood count, screening of STI. IUD inserted to women irrespective of
number of delivery, which proceeded without complications. We inserted the Co-IUDs to all
women in the first 48 hours after vaginal delivery. The rate of IUDs -related complications were
evaluated at 1, 6 and 12 months of use after vaginal delivery.
Results. Among HIV-infected women median age was 25.2 years, history of IDU had 17%,
smoking – 54.5%, alcohol use – 4.5%. HIV-infected women in 52.2 % cases had sexually
transmitted infection which in 3.4 times more as compared to HIV-negative. STI were treated
according to reports. One of the most often complications after postpartum inserting of IUD – is
expulsion The rate of expulsion was similar in the both groups and increased after second or
third delivery. At 6 months after the delivery 83 HIV-infected and 43 HIV-negative continued to
be observed, as 4 (3 %) of them had expulsion of IUD and 3 (2.25 %) had left out follow-up. 16
(19.3%) HIV-positive women with IUD had complaints of heavy menstrual bleeding within last
2 months. The frequency of heavy menstrual bleeding was 1.7 times less (11.6 %) in HIVnegative
women. Two HIV-positive women with heavy anemia have removed of IUD. The
control examination through 9 months after delivery had made about 80 % of women with IUD,
which continued to use this contraceptive. The first episode of pelvic infection appears in HIVinfected
women after 9 month using of IUD. After 12 month using of IUD the rate of pelvic
infection was 5.68% in HIV positive women and 4.4 % in uninfected women.
Conclusion. Thus, the rates of complications in HIV positive women were not higher than in
uninfected women. The postpartum inserting of IUD appears to be a safe and acceptable method
of contraception for HIV -positive women