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艾滋病毒与生育。1. 不确定的风险与残酷的现实:感染艾滋病毒女性的生育选择

HIV and childbearing.1. Uncertain risks and bitter realities: the reproductive choices of HIV-infected women.

作者信息

Levine C, Dubler N N

机构信息

Citizens Commission on AIDS for New York City and Northern New Jersey, NY 10013.

出版信息

Milbank Q. 1990;68(3):321-51.

PMID:2266922
Abstract

Although most babies born to women with HIV will not develop AIDS, many health professionals and segments of the public object when these women will not forgo pregnancy. Such a view fails to consider fully the cultural, political, and socioeconomic contexts in which seropositive women make reproductive choices. HIV infection is only one of many conditions of chronic disease that can be passed from a woman to her fetus, and should not be singled out as a target for coercive policies. Rather, government and society have an obligation to empower women to protect themselves against HIV infection in the first place, and to offer them options for self-esteem and achievement independent of reproduction.

摘要

尽管感染艾滋病毒的女性所生的大多数婴儿不会患上艾滋病,但当这些女性不放弃怀孕时,许多卫生专业人员和部分公众会表示反对。这种观点没有充分考虑血清反应呈阳性的女性做出生殖选择时所处的文化、政治和社会经济背景。艾滋病毒感染只是众多可由女性传染给胎儿的慢性疾病之一,不应被单独挑出来作为强制性政策的目标。相反,政府和社会有义务首先赋予女性保护自己免受艾滋病毒感染的能力,并为她们提供独立于生育之外的自尊和成就的选择。

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