关于感染艾滋病毒女性更安全受孕做法和孕前咨询的观点。
Perspectives on safer conception practices and preconception counseling among women living with HIV.
作者信息
Jean Jenny, Coll Alison, Monda Mallory, Potter JoNell, Jones Deborah
机构信息
a University of Rochester School of Medicine , Rochester , New York , USA.
b Department of Psychiatry & Behavioral Sciences, Miller School of Medicine , University of Miami , Miami , Florida , USA.
出版信息
Health Care Women Int. 2016 Oct;37(10):1096-118. doi: 10.1080/07399332.2015.1107068. Epub 2015 Oct 22.
Abstract
Pregnancies are frequently unplanned, and higher rates of unplanned pregnancies occur among HIV-infected women. Reviewers examined reproductive decision making, conception practices, and patient-provider communication among women living with HIV. Qualitative interviews were conducted with 19 HIV-infected sexually active women aged 18-45 in southern Florida, USA. Using thematic analysis, we found decisions to conceive were influenced by women and partners; knowledge and use of safer conception practices were low. Discussion and support from partners, family, and providers was limited and diminished by stigma and nondisclosure. Preconception counseling discussions in HIV care should be comprehensive and initiated frequently by all health care providers.
摘要
怀孕常常是意外发生的，而且感染艾滋病毒的女性意外怀孕率更高。研究人员调查了感染艾滋病毒女性的生殖决策、受孕方式以及医患沟通情况。对美国佛罗里达州南部19名年龄在18至45岁之间、有性行为的感染艾滋病毒女性进行了定性访谈。通过主题分析，我们发现受孕决定受女性及其伴侣的影响；安全受孕方式的知识和应用水平较低。伴侣、家人和医护人员的讨论与支持有限，且因耻辱感和隐瞒而减少。艾滋病毒护理中的孕前咨询讨论应该全面，所有医护人员都应经常开展。
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