Factors Associated With Repeat Pregnancy Among Women in an Area of High HIV Prevalence in Zimbabwe

Nancy Smee, Avinash K. Shetty, Lynda Stranix-Chibanda, Mike Chirenje, Tsungai Chipato, Yvonne Maldonado, Carmen Portillo

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


Background: This study examined predictors of repeat pregnancy among women from the Prevention of Mother-to-Child Transmission of HIV (PMTCT) program in Zimbabwe. Methods: The study was conducted at urban antenatal clinics in Chitungwiza, a high HIV prevalence urban town on the outskirts of Harare, Zimbabwe. Using a cross-sectional design, 79 HIV-positive and 80 HIV-negative women who had participated in a PMTCT program in their index pregnancy were interviewed in Shona using a standardized questionnaire 24 months after delivery of their index pregnancy. Logistic regression was used to determine whether a relationship exists between repeat pregnancy and HIV status, socioeconomic status, age, Fertility Attitude Score, and previous pregnancy outcomes. Results: In multivariate analysis, factors associated with an increased likelihood of repeat pregnancy were death of a child (odds ratio [OR], 3.9; 95% confidence interval [CI], 1.25-12.52; p = .0019), miscarriage (OR, 3.4; 95% CI, 1.23-9.34; p = .019), and each additional child (OR, 4.6; 95% CI, 1.89-11.52; p = .001). Decreased likelihood of repeat pregnancy was associated with decreased rank order of living conditions (OR, -0.75; 95% CI, 0.55-0.95; p = .021), each additional year of age (OR, -0.86; 95% CI, 0.77-0.97; p = .012), and higher Fertility Attitude Score (OR, -0.76; 95% CI, 0.64-0.91; p = .002). Conclusion: HIV status alone was not significant as a predictor of repeat pregnancy. Women's childbearing intentions are not influenced by the risk of mother-to-child transmission of HIV (MTCT) in this population. Future research is needed to address the cultural attitudes and sexual practices of HIV-positive women in order to minimize the threat of MTCT.

Original languageEnglish
Pages (from-to)222-229
Number of pages8
JournalWomen's Health Issues
Issue number3
Publication statusPublished - 01-05-2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Obstetrics and Gynaecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery


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