Department of Nursing Science, University of Limpopo, Sovenga, South Africa.
Faculty of Health Sciences Executive Dean's Office, University of Limpopo, Sovenga, South Africa.
SAHARA J. 2020 Dec;17(1):1-8. doi: 10.1080/17290376.2020.1857299.
: Pregnancy decision-making is complicated for HIV-positive women because they have to contend with unpredictable symptoms, potential vertical transmission, and often a problematic life context including poverty, abuse, and stigma. : The purpose of the study was to explore the views of HIV-positive women attending a support group at a clinic in the Mpumalanga Province, on becoming pregnant. : A qualitative, descriptive, and phenomenological research design was adopted to conduct one-on-one interviews using a semi-structured interview guide. Purposive sampling aided the selection of fifteen HIV-positive women who were members of the HIV/AIDS support group at the clinic. Data saturation was reached at participant number 15. Lincoln and Guba's four criteria for ensuring the trustworthiness of data were applied. Data were analysed using the open coding technique. : The following categories emerged: Mitigating fears of becoming pregnant through the prevention of mother-to-child transmission (PMTCT) programme; relationship between becoming pregnant and stigma attached to HIV/AIDS; cultural and social norms about becoming pregnant and the relationship between support groups and becoming pregnant. : The study concluded that the desire to become pregnant amongst HIV-positive women is influenced by several aspects such as knowledge about the prevention of mother to child transmission, cultural values and social norms, and belonging to support groups where they were able to share experiences. Furthermore, becoming pregnant was viewed as an obligation to satisfy their partners/husbands and security to maintain marriages.
怀孕决策对 HIV 阳性妇女来说很复杂，因为她们必须应对不可预测的症状、潜在的垂直传播，以及往往是贫困、虐待和污名化等问题重重的生活环境。本研究旨在探讨在姆普马兰加省一家诊所参加支持小组的 HIV 阳性妇女对怀孕的看法。研究采用定性、描述性和现象学研究设计，使用半结构化访谈指南进行一对一访谈。通过目的抽样，选择了 15 名来自诊所 HIV/AIDS 支持小组的 HIV 阳性妇女作为参与者。在第 15 名参与者时达到了数据饱和。应用了林肯和古巴确保数据可信度的四项标准。使用开放式编码技术对数据进行分析。出现了以下类别：通过预防母婴传播（PMTCT）计划减轻对怀孕的恐惧；怀孕与 HIV/AIDS 污名之间的关系；关于怀孕的文化和社会规范以及支持小组与怀孕之间的关系。研究得出结论，HIV 阳性妇女怀孕的愿望受到多种因素的影响，如预防母婴传播的知识、文化价值观和社会规范，以及参加支持小组的经历，在支持小组中，她们能够分享经验。此外，怀孕被视为满足伴侣/丈夫的义务和维持婚姻的保障。
