Use of tenofovir-based preexposure prophylaxis among pregnant women in South Africa

We observed low-pregnancy incidence. Counselling may have encouraged delayed pregnancy plans; some women may have exaggerated pregnancy plans to enroll. About half of pregnant women used PrEP and took over half of doses by pillcap. Fewer than 25% had tenofovir detected, likely reflecting pregnancy-related pharmacokinetics and adherence challenges. High interest in pregnancy PrEP use highlights the need to optimize adherence support and prevention choice.

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Publication Details

Journal
AIDS
Published
2024-12-18
DOI
https://doi.org/10.1097/qad.0000000000004090
Primary Topic
HIV/AIDS Research and Interventions
Type
article
Field-Weighted Citation Impact
0.00

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article

Use of tenofovir-based preexposure prophylaxis among pregnant women in South Africa

John Bassler, Manjeetha Jaggernath, Christina Psaros, Jennifer Smit et al.
AIDS
HIV/AIDS Research and Interventions
article

Use of tenofovir-based preexposure prophylaxis among pregnant women in South Africa

John Bassler, Manjeetha Jaggernath, Christina Psaros, Jennifer Smit, Katia J. Bruxvoort, Yolandie Kriel, Jessica E. Haberer, David R. Bangsberg, Lynn T. Matthews, Kara K. Bennett, Patricia M. Smith, Kathleen Wirth Hurwitz
article en

Abstract

We observed low-pregnancy incidence. Counselling may have encouraged delayed pregnancy plans; some women may have exaggerated pregnancy plans to enroll. About half of pregnant women used PrEP and took over half of doses by pillcap. Fewer than 25% had tenofovir detected, likely reflecting pregnancy-related pharmacokinetics and adherence challenges. High interest in pregnancy PrEP use highlights the need to optimize adherence support and prevention choice.

AIDSVol. 39(5)
Target (United States) (US), Lynn University (US), University of the Witwatersrand (ZA), University of Alabama at Birmingham (US), Massachusetts General Hospital (US)
Massachusetts General Hospital, Gilead Sciences, Andrew and Jaime Sullivan Family Foundation, National Institutes of Health
Good health and well-being
Openalex Percentile: Top 71%
HIV/AIDS Research and Interventions
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Use of tenofovir-based preexposure prophylaxis among pregnant women in South Africa — John Bassler, Manjeetha Jaggernath, et al. · AIDS (2024) | TGRS Research Map | TGRS