{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:58:12Z","timestamp":1790927892972,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pregnant women with HIV are at risk of reduced engagement in HIV care during pregnancy and postpartum. Retention in care, defined as continuous engagement in HIV\u2010related treatment and follow\u2010up, is essential to achieve virological suppression and prevent vertical transmission. Contemporary evidence on retention in care during pregnancy and postpartum among women with HIV in high\u2010income countries remains limited. Thus, the aim of this systematic review was to examine retention in care during pregnancy and postpartum in this population and context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic literature review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA) guidelines. PubMed, Embase and CINAHL were searched for observational studies including pregnant and\/or postpartum women with HIV in high\u2010income countries reporting retention in care outcomes. Screening, data extraction and quality assessment were performed independently by two reviewers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 5089 records identified, 11 cohort studies were included. Retention in care was higher during pregnancy than postpartum, with declines observed up to 24\u2009months postpartum. Several studies reported improvements in retention in care between 1996 and 2019. Use of antiretroviral therapy (ART) with viral suppression during pregnancy was associated with more favourable postpartum retention in care and virological outcomes. Heterogeneity in outcome definitions and follow\u2010up periods precluded meta\u2010analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In high\u2010income countries, most studies show high retention in care during pregnancy and declines after delivery. Retention in care has improved over time, and sufficient ART during pregnancy is associated with enhanced postpartum outcomes. Future research should prioritize standardized outcome definitions to strengthen evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70265","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T10:52:08Z","timestamp":1781002328000},"page":"1584-1596","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Retention in care among women with\n                    <scp>HIV<\/scp>\n                    : A systematic review of treatment continuity during pregnancy and postpartum"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1276-3547","authenticated-orcid":false,"given":"Stine","family":"Hansen","sequence":"first","affiliation":[{"name":"Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7727-8725","authenticated-orcid":false,"given":"Klara Tetzschner","family":"Madsen","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3133-2724","authenticated-orcid":false,"given":"Nina","family":"Weis","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Copenhagen University Hospital  Hvidovre Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7195-8641","authenticated-orcid":false,"given":"Ellen","family":"Moseholm","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Copenhagen University Hospital  Hvidovre Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization.HIV and AIDS. 2024. 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