Department of Paediatric Nursing, School of Nursing and Midwifery, CK Tedam University of Technology and Applied Sciences, Navrongo, Ghana.
Maternal and Child Health Unit, University Health Services, University for Development Studies, Tamale, Ghana.
Nurs Open. 2022 Sep;9(5):2239-2249. doi: 10.1002/nop2.1251. Epub 2022 May 29.
This study determined the factors associated with pregnancy uptake decision among seropositive HIV people receiving antiretroviral therapy in sub-Saharan Africa.
Systematic review.
The population, intervention, comparison and outcomes framework was adopted to search for literature after a scoping review using the preferred reporting items for systematic reviews and meta-analyses guidelines adopted in searching, and screening articles from four databases (PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, and Google scholar) to find 12 articles suitable for this study.
Motivators of pregnancy uptake among HIV-positive women include desire to have children, knowledge about PMTCT, cultural duty for married women to have children, and household income. Demotivating factors included the modern method of contraception and burden associated with pregnancy.
There is a need to improve on services that reduce conception-related risks especially for women who choose to conceive and to incorporate fertility-related counselling into HIV treatment services.
本研究旨在确定撒哈拉以南非洲接受抗逆转录病毒治疗的 HIV 阳性人群中与妊娠接受度决策相关的因素。
系统评价。
采用人群、干预、比较和结局框架，在采用系统评价和荟萃分析报告标准进行范围综述后，搜索文献，并从四个数据库（PubMed、 Cumulative Index to Nursing and Allied Health Literature、Embase 和 Google scholar）筛选文章，找到 12 篇适合本研究的文章。
HIV 阳性妇女怀孕的动机包括想要孩子、对 PMTCT 的了解、已婚妇女生育子女的文化责任以及家庭收入。阻碍因素包括现代避孕方法和怀孕带来的负担。
需要改进服务，降低与怀孕相关的风险，特别是对选择怀孕的妇女，并将生育咨询纳入 HIV 治疗服务中。
