{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T10:09:10Z","timestamp":1784282950856,"version":"3.55.0"},"reference-count":94,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Despite significant biomedical advances in the prevention of mother-to-child transmission (MTCT) of HIV, residual transmission and suboptimal maternal outcomes persist across Europe. The challenge is no longer primarily virological but structural: aggregated ART coverage indicators mask important discontinuities across the perinatal care pathway. This scoping review maps evidence on clinical and psychosocial dimensions of the perinatal HIV pathway among adult women living with HIV (WLHIV) in Europe, and identifies key gaps in their integration across the continuum of care. Following PRISMA-ScR guidelines, five databases were searched for studies published between 2010 and 2026. Of 1881 records identified, 109 met inclusion criteria. Findings were synthesized thematically using an inductively developed framework spanning preconception through long-term postpartum outcomes. MTCT rates declined from approximately 1\u20131.2% in the mid-2000s to below 0.5% in recent data, and vaginal delivery rates increased markedly with sustained viral suppression. However, persistent inequalities remain among younger women, migrants, and those with histories of injecting drug use. Stigma, migration-related vulnerability, mental health difficulties, constrained disclosure, and socioeconomic insecurity shape engagement with care, influencing treatment continuity, retention, and virological outcomes, particularly during the postpartum period. Equitable perinatal HIV outcomes require integrated care models that combine clinical HIV and obstetric services with mental health support, social needs screening, and migration-sensitive services to address the structural conditions shaping care trajectories. A substantial proportion of WLHIV in Europe originate from high-prevalence regions, making perinatal HIV in this context a direct interface between global infectious disease burden and migration health. Addressing care in European settings therefore contributes to broader global health equity goals in HIV elimination. The protocol was pre-registered on Open Science Framework with registration number: 10.17605\/OSF.IO\/9BZGY.<\/jats:p>","DOI":"10.3390\/tropicalmed11070200","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:55:59Z","timestamp":1784249759000},"page":"200","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perinatal HIV in Europe: Clinical Advances and Psychosocial Challenges\u2014A Scoping Review"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2421-0275","authenticated-orcid":false,"given":"Helena","family":"Lutchman","sequence":"first","affiliation":[{"name":"Universit\u00e9 Lyon 1, P2S UR4129, 69008 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cannelle","family":"Michel","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Lyon 1, P2S UR4129, 69008 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8177-7166","authenticated-orcid":false,"given":"Audrey","family":"Murat-Ringot","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Lyon 1, P2S UR4129, 69008 Lyon, France"},{"name":"Hospices Civils de Lyon, 69002 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6823-1636","authenticated-orcid":false,"given":"Florence","family":"Carrouel","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Lyon 1, P2S UR4129, 69008 Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2026, April 27). HIV\u2014Estimated Percentage of Pregnant Women Living with HIV Who Received Antiretrovirals for Preventing Mother-to-Child Transmission. Available online: https:\/\/www.who.int\/data\/gho\/data\/indicators\/indicator-details\/GHO\/estimated-percentage-of-pregnant-women-living-with-hiv-who-received-antiretrovirals-for-preventing-mother-to-child-transmission."},{"key":"ref_2","unstructured":"WHO Regional Office for Africa (2026, April 27). Elimination of Mother-to-Child Transmission. Available online: https:\/\/www.afro.who.int\/health-topics\/hivaids\/emtct."},{"key":"ref_3","unstructured":"World Health Organization (2026, April 27). Mother-to-Child Transmission of HIV. Available online: https:\/\/www.who.int\/teams\/global-hiv-hepatitis-and-stis-programmes\/hiv\/prevention\/mother-to-child-transmission-of-hiv\/3."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1177\/2325957416678929","article-title":"Retention in Continuous Care and Sustained Viral Suppression: Examining the Association among Individuals Living with HIV","volume":"16","author":"Crawford","year":"2017","journal-title":"J. Int. Assoc. Provid. AIDS Care"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"100656","DOI":"10.1016\/j.lanepe.2023.100656","article-title":"Viral suppression and retention in HIV care during the postpartum period among women living with HIV: A longitudinal multicenter cohort study","volume":"31","author":"Paioni","year":"2023","journal-title":"Lancet Reg. Health Eur."},{"key":"ref_6","unstructured":"World Health Organization (2026, April 28). Violence Against Women. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/violence-against-women."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1779","DOI":"10.2105\/AJPH.2008.138669","article-title":"HIV\/AIDS, Reproductive and Sexual Health, and the Law","volume":"98","author":"Gable","year":"2008","journal-title":"Am. J. Public Health"},{"key":"ref_8","unstructured":"UNICEF (2020). Addressing the Needs of Adolescent and Young Mothers Affected by HIV in Eastern and Southern Africa 2020, UNICEF."},{"key":"ref_9","unstructured":"European Centre for Disease Prevention and Control (2016). Antenatal Screening for HIV, Hepatitis B, Syphilis and Rubella Susceptibility in the EU\/EEA."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"101243","DOI":"10.1016\/j.lanepe.2025.101243","article-title":"Control of HIV across the WHO European region: Progress and remaining challenges","volume":"52","author":"Parczewski","year":"2025","journal-title":"Lancet Reg. Health Eur."},{"key":"ref_11","unstructured":"BHIVA (2026, June 30). BHIVA Guidelines on the Management of HIV in Pregnancy and the Postpartum Period 2025. Available online: https:\/\/bhiva.org\/clinical-guideline\/pregnancy-guidelines\/."},{"key":"ref_12","unstructured":"Haute Autorit\u00e9 de Sant\u00e9 (2026, May 21). Grossesse et VIH: D\u00e9sir D\u2019enfant, Soins de la Femme Enceinte et Pr\u00e9vention de la Transmission M\u00e8re-Enfant. Available online: https:\/\/www.has-sante.fr\/jcms\/p_3519129\/fr\/grossesse-et-vih-desir-d-enfant-soins-de-la-femme-enceinte-et-prevention-de-la-transmission-mere-enfant-recommandations."},{"key":"ref_13","unstructured":"European Centre for Disease Prevention and Control\/WHO Regional Office for Europe (2025). HIV\/AIDS Surveillance in Europe 2025\u20132024 Data."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1111\/hiv.13648","article-title":"Residential and healthcare mobility during pregnancy among women living with HIV in the UK, 2009\u20132019","volume":"25","author":"Dema","year":"2024","journal-title":"HIV Med."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"F\u00fcller, D., Vieth, S.J., and Otto, B. (2023). Migrant and socioeconomic status might intersect in adverse health outcomes. Front. Public Health, 11.","DOI":"10.3389\/fpubh.2023.1244612"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/QAI.0000000000002087","article-title":"Stillbirth in Women Living With HIV Delivering in the United Kingdom and Ireland: 2007\u20132015","volume":"82","author":"Favarato","year":"2019","journal-title":"JAIDS-J. Acquir. Immune Defic. Syndr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1310\/hct1503-104","article-title":"Rate, Predictors, and Consequences of Late Antenatal Booking in a National Cohort Study of Pregnant Women with HIV in Italy","volume":"15","author":"Floridia","year":"2014","journal-title":"HIV Clin. Trials"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1097\/QAI.0000000000000791","article-title":"Consequences of Presentation with Advanced HIV Disease in Pregnancy: Data from a National Study in Italy","volume":"70","author":"Floridia","year":"2015","journal-title":"JAIDS-J. Acquir. Immune Defic. Syndr."},{"key":"ref_19","first-page":"270","article-title":"Diagnosis of HIV infection during pregnancy: Trends from a national cohort in Spain","volume":"27","author":"Alejos","year":"2025","journal-title":"HIV Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1097\/OLQ.0000000000000442","article-title":"Loss to Follow-Up After Pregnancy Among Sub-Saharan Africa-Born Women Living with Human Immunodeficiency Virus in England, Wales and Northern Ireland: Results from a Large National Cohort","volume":"43","author":"Tariq","year":"2016","journal-title":"Sex. Transm. Dis."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Hansen, S., Madsen, K.T., Weis, N., and Moseholm, E. (2026). Retention in care among women with HIV: A systematic review of treatment continuity during pregnancy and postpartum. HIV Med.","DOI":"10.1111\/hiv.70265"},{"key":"ref_23","first-page":"285","article-title":"The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers","volume":"34","author":"Hong","year":"2018","journal-title":"Educ. Inf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1111\/hiv.12299","article-title":"Postnatal retention in HIV care: Insight from the Swiss HIV Cohort Study over a 15-year observational period","volume":"17","author":"Kouyos","year":"2016","journal-title":"HIV Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"E385","DOI":"10.1016\/S2352-3018(15)00079-X","article-title":"Pregnancy outcomes in HIV-positive women in Ukraine, 2000\u20132012(European Collaborative Study in EuroCoord): An observational cohort study","volume":"2","author":"Bagkeris","year":"2015","journal-title":"Lancet HIV"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1111\/j.1360-0443.2011.03609.x","article-title":"Prevention of mother-to-child transmission of human immunodeficiency virus among pregnant women using injecting drugs in Ukraine, 2000\u20132010","volume":"107","author":"Thorne","year":"2012","journal-title":"Addiction"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1080\/17441692.2018.1536157","article-title":"\u201cIf she gave birth to a healthy child, then she may forget about her own health\u201d: Postpartum engagement in HIV care and treatment among women living with HIV in Russia","volume":"14","author":"King","year":"2019","journal-title":"Glob. Public Health"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1080\/10826084.2020.1729204","article-title":"Prevalence, Correlates and Outcomes of Smoking in Pregnant Women with HIV: A National Observational Study in Italy","volume":"55","author":"Floridia","year":"2020","journal-title":"Subst. Use Misuse"},{"key":"ref_29","first-page":"353","article-title":"Pregnancy and delivery outcomes of HIV infected women in Switzerland 2003\u20132008","volume":"38","author":"Lapaire","year":"2010","journal-title":"J. Perinat. Med."},{"key":"ref_30","first-page":"249","article-title":"Experience of the national cohort of pregnant women with HIV and their children in Spain: Temporal trends in vertical transmission of HIV and associated infections","volume":"101","year":"2024","journal-title":"An. Pediatr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1177\/10872914251387606","article-title":"Pregnancy in Women with HIV: Incidence and Outcomes over 19 Years in a Multi-Center Cohort in Spain","volume":"39","author":"Moreno","year":"2025","journal-title":"AIDS Patient Care STDS"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Brandon, O., Chakravarti, S., and Hemelaar, J. (2022). Trends in management and outcomes of pregnant women living with HIV between 2008-2013 and 2014-2019: A retrospective cohort study. Front. Med., 9.","DOI":"10.3389\/fmed.2022.970175"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2360","DOI":"10.1017\/S0950268817001340","article-title":"Pregnant with HIV before age 25: Data from a large national study in Italy, 2001\u20132016","volume":"145","author":"Floridia","year":"2017","journal-title":"Epidemiol. Infect."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/hiv.12410","article-title":"Presentation for care and antenatal management of HIV in the UK, 2009\u20132014","volume":"18","author":"French","year":"2017","journal-title":"HIV Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"E590","DOI":"10.1093\/cid\/ciac703","article-title":"Update of Perinatal Human Immunodeficiency Virus Type 1 Transmission in France: Zero Transmission for 5482 Mothers on Continuous Antiretroviral Therapy From Conception and With Undetectable Viral Load at Delivery","volume":"76","author":"Sibiude","year":"2023","journal-title":"Clin. Infect. Dis."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1111\/j.1468-1293.2010.00876.x","article-title":"Antiretroviral therapy during pregnancy and premature birth: Analysis of Swiss data","volume":"12","author":"Rudin","year":"2011","journal-title":"HIV Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1111\/hiv.12577","article-title":"National audit of perinatal HIV infections in the UK, 2006\u20132013: What lessons can be learnt?","volume":"19","author":"Peters","year":"2018","journal-title":"HIV Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2269","DOI":"10.1097\/QAD.0000000000000826","article-title":"The risk of viral rebound in the year after delivery in women remaining on antiretroviral therapy","volume":"29","author":"Huntington","year":"2015","journal-title":"AIDS"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1097\/QAI.0000000000003070","article-title":"Pregnancy Outcomes Among Perinatally HIV-Infected Women in Spain","volume":"91","author":"Bernardino","year":"2022","journal-title":"JAIDS-J. Acquir. Immune Defic. Syndr."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1093\/eurpub\/ckt028","article-title":"National Guidelines for the prevention of mother-to-child transmission of HIV across Europe\u2014How do countries differ?","volume":"23","author":"Mulcahy","year":"2013","journal-title":"Eur. J. Public Health"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Aho, I., Kaijomaa, M., Kivel\u00e4, P., Surcel, H.-M., Sutinen, J., and Heikinheimo, O. (2018). Most women living with HIV can deliver vaginally-National data from Finland 1993\u20132013. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0194370"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1007\/s15010-019-01336-z","article-title":"Vaginal delivery in women with HIV in Italy: Results of 5 years of implementation of the national SIGO-HIV protocol","volume":"47","author":"Tibaldi","year":"2019","journal-title":"Infection"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1658","DOI":"10.1017\/S095026881700053X","article-title":"Pregnancy and neonatal outcomes among a cohort of HIV-infected women in a large Italian teaching hospital: A 30-year retrospective study","volume":"145","author":"Grignolo","year":"2017","journal-title":"Epidemiol. Infect."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.ijgo.2015.02.019","article-title":"Management and outcomes of pregnancies among women with HIV in Oxford, UK, in 2008\u20132012","volume":"130","author":"Hemelaar","year":"2015","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.ijgo.2010.05.023","article-title":"Term labor management and outcomes in treated HIV-infected women without contraindications to vaginal delivery and matched controls","volume":"111","author":"Azria","year":"2010","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/j.1468-1293.2009.00800.x","article-title":"European Collaborative Study Mode of delivery in HIV-infected pregnant women and prevention of mother-to-child transmission: Changing practices in Western Europe","volume":"11","year":"2010","journal-title":"HIV Med."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Tookey, P., Thorne, C., van Wyk, J., and Norton, M. (2016). Maternal and foetal outcomes among 4118 women with HIV infection treated with lopinavir\/ritonavir during pregnancy: Analysis of population-based surveillance data from the national study of HIV in pregnancy and childhood in the United Kingdom and Ireland. BMC Infect. Dis., 16.","DOI":"10.1186\/s12879-016-1400-y"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1111\/hiv.12142","article-title":"Pregnancy complications in HIV-positive women: 11-year data from the Frankfurt HIV Cohort","volume":"15","author":"Reitter","year":"2014","journal-title":"HIV Med."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1111\/hiv.13652","article-title":"Trends in preterm birth in women living with HIV in Switzerland over the last three decades: A multicentric, prospective, cohort study","volume":"25","author":"Rudin","year":"2024","journal-title":"HIV Med."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Tudor, A.M., Cambrea, S.C., Stratan, L.M., Vi\u0219an, C.A., Tili\u0219can, C., Aram\u0103, V., and Ru\u021b\u0103, S.M. (2026). Maternal Antiretroviral Use and the Risk of Prematurity and Low Birth Weight in Perinatally HIV-Exposed Children\u20147 Years\u2019 Experience in Two Romanian Centers. Medicina, 62.","DOI":"10.3390\/medicina62010093"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1111\/hiv.12469","article-title":"Pregnancies in older women living with HIV in the UK and Ireland","volume":"18","author":"Townsend","year":"2017","journal-title":"HIV Med."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1097\/QAD.0b013e32835ac8bc","article-title":"Does pregnancy affect the early response to cART?","volume":"27","author":"Rachas","year":"2013","journal-title":"AIDS"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"775","DOI":"10.3851\/IMP1613","article-title":"Antiretroviral therapy in pregnancy: Balancing the risk of preterm delivery with prevention of mother-to-child HIV transmission","volume":"15","author":"Townsend","year":"2010","journal-title":"Antivir. Ther."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1111\/hiv.12728","article-title":"Missed opportunities to prevent mother-to-child transmission of HIV in Italy","volume":"20","author":"Taramasso","year":"2019","journal-title":"HIV Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"491","DOI":"10.2471\/BLT.12.114405","article-title":"Ukraine European Collaborative Study Group in EuroCoord. Impact of expanded access to combination antiretroviral therapy in pregnancy: Results from a cohort study in Ukraine","volume":"91","author":"Bailey","year":"2013","journal-title":"Bull. World Health Organ."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Cambrea, S., Marcu, E., Cucli, E., Badiu, D., Penciu, R., Petcu, C., Dumea, E., Halichidis, S., Pazara, L., and Mihai, C. (2022). Clinical and Biological Risk Factors Associated with Increased Mother-to-Child Transmission of HIV in Two South-East HIV-AIDS Regional Centers in Romania. Med.-Lith., 58.","DOI":"10.3390\/medicina58020275"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1936","DOI":"10.1097\/QAD.0000000000004275","article-title":"Retention in care and viral suppression in pregnant\/postpartum vs. nonpregnant\/nonpostpartum women with HIV","volume":"39","author":"Moseholm","year":"2025","journal-title":"AIDS"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"e747","DOI":"10.1016\/S2352-3018(21)00194-6","article-title":"Association of pregnancy with engagement in HIV care among women with HIV in the UK: A cohort study","volume":"8","author":"Okhai","year":"2021","journal-title":"Lancet. HIV"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.jana.2013.01.008","article-title":"The Experiences and Coping Strategies of United Kingdom-Based African Women Following an HIV Diagnosis During Pregnancy","volume":"25","author":"Treisman","year":"2014","journal-title":"JANAC-J. Assoc. Nurses AIDS Care"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1093\/eurpub\/ckaa133","article-title":"Social support and postpartum adherence to HIV treatment: A community-based participatory research study in Russia","volume":"31","author":"King","year":"2021","journal-title":"Eur. J. Public Health"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1007\/s10461-015-1089-8","article-title":"Ukraine Cohort HIV-Infected Factors Associated with Non-disclosure of HIV Status in a Cohort of Childbearing HIV-Positive Women in Ukraine","volume":"20","author":"Ahn","year":"2016","journal-title":"AIDS Behav."},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Alvarez-del Arco, D., Rodr\u00edguez, S., P\u00e9rez-El\u00edas, M., Blanco, J., Cuellar, S., del Romero, J., Santos, I., Boix, V., Mas\u00eda, M., and Pascual, L. (2018). Role of HIV in the desire of procreation and motherhood in women living with HIV in Spain: A qualitative approach. BMC Womens Health, 18.","DOI":"10.1186\/s12905-017-0483-y"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1007\/s10995-024-03962-y","article-title":"Investigating the Pregnancy and Post-Partum Health Experiences of Women Living with HIV","volume":"28","author":"Cooper","year":"2024","journal-title":"Matern. Child. Health J."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.midw.2016.02.008","article-title":"Testing HIV positive in pregnancy: A phenomenological study of women\u2019s experiences","volume":"35","author":"Furber","year":"2016","journal-title":"Midwifery"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.midw.2011.12.003","article-title":"\u2018Every pregnant woman needs a midwife\u2019-The experiences of HIV affected women in maternity care","volume":"29","author":"Kelly","year":"2013","journal-title":"Midwifery"},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Moseholm, E., Aho, I., Mellgren, \u00c5., Pedersen, G., Katzenstein, T., Johansen, I., Bach, D., Storgaard, M., and Weis, N. (2022). Psychosocial health in pregnancy and postpartum among women living with-and without HIV and non-pregnant women living with HIV living in the Nordic countries\u2014Results from a longitudinal survey study. BMC Pregnancy Childbirth, 22.","DOI":"10.1186\/s12884-021-04357-5"},{"key":"ref_67","first-page":"749","article-title":"Interdisciplinary correlations regarding the clinical and paraclinical evaluations in HIV-positive pregnant women","volume":"118","author":"Haliciu","year":"2014","journal-title":"Med.-Surg. J."},{"key":"ref_68","first-page":"680","article-title":"Routine HIV counseling and testing during antenatal care in Ukraine: A qualitative study of the experiences and perspectives of pregnant women and antenatal care providers","volume":"25","author":"Tripathi","year":"2013","journal-title":"AIDS Care-Psychol. Socio-Med. Asp. AIDS\/HIV"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1487760","DOI":"10.1080\/17482631.2018.1487760","article-title":"Sexuality and childbearing as it is experienced by women living with HIV in Sweden: A lifeworld phenomenological study","volume":"13","author":"Berg","year":"2018","journal-title":"Int. J. Qual. Stud. Health Well-Being"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s12978-016-0150-z","article-title":"Prevalence of depressive symptoms in pregnant and postnatal HIV-positive women in Ukraine: A cross-sectional survey","volume":"13","author":"Bailey","year":"2016","journal-title":"Reprod. Health"},{"key":"ref_71","first-page":"1","article-title":"Impact of maternal HIV status on family constructions and the infant\u2019s relational environment during the perinatal period","volume":"20","author":"Courcoux","year":"2013","journal-title":"Arch. Pediatr."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1177\/0956462415601913","article-title":"HIV control in postpartum mothers: A turbulent time","volume":"27","author":"Loftus","year":"2016","journal-title":"Int. J. STD AIDS"},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"Huertas-Zurriaga, A., Gim\u00e9nez-D\u00edez, D., and Leyva-Moral, J. (2025). Exploring the Intersection of Mental and Reproductive Health Among Women Living with HIV in Spain: A Qualitative Secondary Data Analysis. Healthcare, 13.","DOI":"10.3390\/healthcare13020168"},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Hernando, V., Alejos, B., Alvarez, D., Montero, M., P\u00e9rez-El\u00edas, M., Blanco, J., Masi\u00e1, M., del Romero, J., de los Santos, I., and Rio, I. (2014). Reproductive desire in women with HIV infection in Spain, associated factors and motivations: A mixed-method study. BMC Pregnancy Childbirth, 14.","DOI":"10.1186\/1471-2393-14-194"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"251","DOI":"10.3109\/13625187.2013.801072","article-title":"Child desire in women and men living with HIV attending HIV outpatient clinics: Evidence from a European multicentre study","volume":"18","author":"Desjardins","year":"2013","journal-title":"Eur. J. Contracept. Reprod. Health Care"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1111\/hiv.12582","article-title":"Neglect of attention to reproductive health in women with HIV infection: Contraceptive use and unintended pregnancies in the Swiss HIV Cohort Study","volume":"19","author":"Mercanti","year":"2018","journal-title":"HIV Med."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"2366","DOI":"10.1093\/humrep\/deq093","article-title":"Previous reproductive history and post-natal family planning among HIV-infected women in Ukraine","volume":"25","author":"Saxton","year":"2010","journal-title":"Hum. Reprod."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"1555","DOI":"10.1089\/jwh.2018.7485","article-title":"Natural Conception is Safe for HIV-Serodiscordant Couples with Persistent Suppressive Antiretroviral Therapy for the Infected Partner","volume":"28","author":"Baza","year":"2019","journal-title":"J. Womens Health"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"e4398","DOI":"10.1097\/MD.0000000000004398","article-title":"Natural conception in HIV-serodiscordant couples with the infected partner in suppressive antiretroviral therapy: A prospective cohort study","volume":"95","author":"Baza","year":"2016","journal-title":"Medicine"},{"key":"ref_80","first-page":"376","article-title":"Comparison of in vitro fertilization cycles in couples with human immunodeficiency virus type 1 infection versus noninfected couples through a retrospective matched case-control study","volume":"2","author":"Vianna","year":"2021","journal-title":"F. S Rep."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1111\/j.1468-1293.2012.01032.x","article-title":"Induced first abortion rates before and after HIV diagnosis: Results of an Italian self-administered questionnaire survey carried out in 585 women living with HIV","volume":"14","author":"Ammassari","year":"2013","journal-title":"HIV Med."},{"key":"ref_82","doi-asserted-by":"crossref","unstructured":"Mutru, M., Kivel\u00e4, P., Ollgren, J., Liitsola, K., Gissler, M., and Aho, I. (2023). Induced abortions of women living with HIV in Finland 1987-2019: A national register study. BMC Pregnancy Childbirth, 23.","DOI":"10.1186\/s12884-023-05430-x"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"100237","DOI":"10.1016\/j.jmh.2024.100237","article-title":"HIV and induced abortion among migrants from sub-Saharan Africa living in \u00cele-de-France: Results of the PARCOURS study","volume":"10","author":"Pilecco","year":"2024","journal-title":"J. Migr. Health"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1177\/0956462421999951","article-title":"Over a third of childbearing women with HIV would like to breastfeed: A UK survey of women living with HIV","volume":"32","author":"Nyatsanza","year":"2021","journal-title":"Int. J. STD AIDS"},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Kasadha, B., Hinton, L., Tariq, S., Nyatsanza, F., Namiba, A., Freeman-Romilly, N., and Rai, T. (2024). How women living with HIV in the UK manage infant-feeding decisions and vertical transmission risk\u2014A qualitative study. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-19581-9"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1136\/sextrans-2015-052224","article-title":"\u201cIt pains me because as a woman you have to breastfeed your baby\u201d: Decision-making about infant feeding among African women living with HIV in the UK","volume":"92","author":"Tariq","year":"2016","journal-title":"Sex. Transm. Infect."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1186\/s13006-024-00677-2","article-title":"Infant feeding knowledge among women living with HIV and their interaction with healthcare providers in a high-income setting: A longitudinal mixed methods study","volume":"19","author":"Moseholm","year":"2024","journal-title":"Int. Breastfeed. J."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/QAI.0000000000003314","article-title":"Perception and Emotional Experiences of Infant Feeding Among Women Living with HIV in a High-Income Setting: A Longitudinal Mixed Methods Study","volume":"95","author":"Moseholm","year":"2024","journal-title":"JAIDS-J. Acquir. Immune Defic. Syndr."},{"key":"ref_89","doi-asserted-by":"crossref","unstructured":"Kasadha, B., Tariq, S., Freeman-Romilly, N., Pope, C., Namiba, A., Nyatsanza, F., Hinton, L., and Rai, T. (2024). \u201cWe decided together\u201d: A qualitative study about women with HIV navigating infant-feeding decisions with the father of their children. BMC Pregnancy Childbirth, 24.","DOI":"10.1186\/s12884-023-06198-w"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.ejogrb.2023.02.013","article-title":"Successful implementation of new Swiss recommendations on breastfeeding of infants born to women living with HIV","volume":"283","author":"Crisinel","year":"2023","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1097\/QAI.0000000000003075","article-title":"Brief Report: HIV-Positive and Breastfeeding in High-Income Settings: 5-Year Experience From a Perinatal Center in Germany","volume":"91","author":"Weiss","year":"2022","journal-title":"JAIDS-J. Acquir. Immune Defic. Syndr."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1089\/apc.2020.0223","article-title":"Not Recommended, But Done: Breastfeeding with HIV in Germany","volume":"35","author":"Haberl","year":"2021","journal-title":"AIDS Patient Care STDS"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1080\/01443615.2017.1416598","article-title":"Pregnancy outcomes of women with HIV in a district general hospital in the UK","volume":"38","author":"Carey","year":"2018","journal-title":"J. Obstet. Gynaecol."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1007\/s10461-011-0084-y","article-title":"Non-disclosure of a pregnant woman\u2019s HIV status to her partner is associated with non-optimal prevention of mother-to-child transmission","volume":"17","author":"Jasseron","year":"2013","journal-title":"AIDS Behav."}],"container-title":["Tropical Medicine and Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2414-6366\/11\/7\/200\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T09:58:29Z","timestamp":1784282309000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2414-6366\/11\/7\/200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,16]]},"references-count":94,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["tropicalmed11070200"],"URL":"https:\/\/doi.org\/10.3390\/tropicalmed11070200","relation":{},"ISSN":["2414-6366"],"issn-type":[{"value":"2414-6366","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,16]]}}}