Retention in care among women with HIV: A systematic review of treatment continuity during pregnancy and postpartum.
HIV MedJun 9, 2026 (epub)
Stine Hansen, Klara Tetzschner Madsen, Nina Weis et al.
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In 30 seconds
This systematic review examined retention in HIV care among pregnant and postpartum women in high-income countries. It included 11 cohort studies and found that retention was higher during pregnancy compared to postpartum, with declines noted up to 24 months after delivery. The use of antiretroviral therapy (ART) during pregnancy was linked to better retention and virological outcomes postpartum.
Key findings
- Retention in care was higher during pregnancy than postpartum.
- Declines in retention were observed up to 24 months postpartum.
- Improvements in retention in care were noted between 1996 and 2019.
- Use of ART with viral suppression during pregnancy was associated with better postpartum outcomes.
Why it matters
Understanding retention in care during and after pregnancy is crucial for preventing vertical transmission of HIV and ensuring the health of both mothers and infants. Improved retention can lead to better virological outcomes and overall maternal health.