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The mean age of this cohort was 36.7, and self-reported race was 32% white, 27% black, 22% Hispanic, and 19% multiple race, Asians, American Indians, or others. Table 1 compares demographic and clinical information in groups with and without desire for future pregnancy. Women desiring pregnancy were younger (32.6 versus 39.9, p AZD9291 research buy communication. Most women in the study were sexually active (desire 64% versus no desire 74%, p = 0.38). There were high but similar rates of serodiscordant partnerships among sexually active women (desire 69% versus no desire 71%, p = 0.77) with both groups reporting that concern of infecting partner with HIV affected pregnancy plans (desire 51% versus no desire 33%, p = 0.12). Despite these concerns, only 20% of women with reproductive intent were referred to a reproductive specialist to discuss alternative methods of pregnancy. Table 2 Sexual history, fertility desires, and provider communication for women Selleckchem PR 171 with HIV of reproductive age. Nondisclosure of HIV status to any partner in the prior year was relatively high (no desire 29% [n = 14] versus desire 18% [n = 7], p = 0.53). Condom use rates and type of birth control in women with or without reproductive desire did not differ (Table 2). YES1 Of 44 women with desire for future pregnancy, 84% thought they would have a future child and 10 women (23%) currently reported condomless sex with the goal of pregnancy. Interestingly, two women (4%) who did not report desire for a future pregnancy reported that they thought they would have a future child. Just under half of HIV-infected women reported that their HIV diagnosis impacted their pregnancy plans regardless of their desire for future pregnancy (45% versus 45%, p = 1). There was no difference (p = 0.71) in the knowledge-based MTCT question: ��If you were to become pregnant, what is the probability that your child will contract HIV with proper medication and medical guidance?�� Provider rates of discussion were the highest for condom use (desire 96% versus no desire 93%, p = 0.69) followed by contraception use (desire 64% and no desire 77%, p = 0.19) and the lowest in assessing desire for pregnancy (desire 41% versus no desire 35%, p = 0.68). Women desiring pregnancy were more likely to initiate a discussion with providers regarding pregnancy intent (42% versus 5%, p �� 0.0001).