scholarly journals Exploring the Reproductive Decision-making Process of HIV-positive Women in County Victoria, Trinidad and Tobago

2014 ◽  
Vol 1 (3) ◽  
pp. 74-77 ◽  
Author(s):  
E Joseph ◽  
A Sharma
Keyword(s):  
Decision Making ◽  
Trinidad And Tobago ◽  
Hiv Positive ◽  
Decision Making Process ◽  
Reproductive Decision ◽  
Hiv Positive Women ◽  
Reproductive Decision Making

scholarly journals Assessing Reproductive Decision-making Among HIV-Positive Women in Kumasi, Ghana

2019 ◽  
Vol 8 (1) ◽  
pp. 54-62
Author(s):  
Alicia E. Hersey ◽  
Betty Norman ◽  
Rebecca Reece
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Unmet Need ◽  
Hiv Positive ◽  
Hiv Status ◽  
Reproductive Decision ◽  
Hiv Positive Women ◽  
Reproductive Decision Making ◽  
Unmet Need For Contraception ◽  
Hiv Negative

Background or Objectives: HIV-positive women have higher rates of unmet need for contraception and unintended pregnancy and face unique obstacles in accessing family planning services, such as healthcare- related stigma and disclosing HIV status to partners. This study characterizes factors that influence the reproductive decision-making of women living with HIV and identifies areas for improvement in reproductive counseling in Kumasi. Methods: In this cross-sectional study, HIV-positive women, ages 18 to 45 years, presenting for care at Komfo Anokye Teaching Hospital between June and August 2017 were interviewed using structured surveys. Information gathered included demographics, method of contraceptive use, initiation of anti- retroviral therapy (ART), knowledge and use of contraception, and future reproductive plans. The primary outcome was current family planning use and future reproductive desire. Univariate analysis was used to characterize the demographics of the study group. Bivariate analysis including Chi-squared test was employed to assess the association between use of family planning between women with an HIV-positive and HIV-negative partner, with significance set at p < 0.05. Results: A total of 88 women were interviewed. The unmet need for contraception was 10%. Among all sexually active women, 26% did not use contraception. Fewer women with HIV-negative or untested partners were using contraception (65% and 67%, respectively), compared to women with HIV-positive partners (93%). Partner preference was the most common reason cited for not using a method of contraceptive (46%). Similar trends were found in future reproductive desires based on age cohorts, partner status, and use of family planning. Conclusion and Global Health Implications: Significant barriers to family planning use among HIV- positive women remain, especially those with a serodiscordant partner. Most partners were aware of their partner’s HIV status. This highlights an important opportunity to include partners in HIV and contraceptive counseling. Key words: • HIV • Family planning • Contraception • LARC • Serodiscordant • Ghana • Africa   Copyright © 2019 Hersey et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Impact of HIV Positive Status on Reproductive Decision Making

2011 ◽  
Vol 3 (2) ◽  
pp. 82-85
Author(s):  
Sebanti Goswami ◽  
Ranjana Tibrewal
Keyword(s):  
Decision Making ◽  
Vertical Transmission ◽  
Antenatal Clinic ◽  
Hiv Positive ◽  
Medical College ◽  
Reproductive Decision ◽  
Hiv Positive Women ◽  
Reproductive Decision Making ◽  
Varied Response ◽  
Counseling Approach

ABSTRACT Objective The purpose of this study was to investigate the various factors that influence pregnancy decisions in HIV positive women. Methods This was a prospective observational study conducted in the Department of Obstetrics and Gynecology, Medical College and Hospital, Kolkata. Around 65 pregnant women testing positive for HIV and receiving care at our antenatal clinic or opting for MTP were included. An interview was taken regarding factors influencing reproductive decision making. Results Around 13.9% of the patients underwent MTP and 86.1% continued their pregnancy. When asked about the reason of opting for MTP, a varied response was noted out of which the fear for vertical transmission and concern of stigma took the major share. Conclusion The counseling approach is to be proposed that advocates encouraging HIV-infected women to make reasoned and considered decisions concerning childbearing. Such an approach would require providers to discuss with women not only the medical facts relevant to vertical transmission but also many of the psychosocial issues relevant to the woman's interest in bearing a child. Moreover, the encounter would be contextualized to include discussion of issues unique to the woman's situation and other family considerations.

scholarly journals Reproductive Decision-Making and Periconception Practices Among HIV-Positive Men and Women Attending HIV Services in Durban, South Africa

2011 ◽  
Vol 17 (2) ◽  
pp. 461-470 ◽  
Author(s):  
Lynn T. Matthews ◽  
Tamaryn Crankshaw ◽  
Janet Giddy ◽  
Angela Kaida ◽  
Jennifer A. Smit ◽  
...  
Keyword(s):  
South Africa ◽  
Decision Making ◽  
Hiv Positive ◽  
Men And Women ◽  
Hiv Services ◽  
Reproductive Decision ◽  
Reproductive Decision Making ◽  
Hiv Positive Men

The reproductive careers of a cohort of men and women following an HIV-positive diagnosis

1994 ◽  
Vol 26 (3) ◽  
pp. 409-415 ◽  
Author(s):  
Gill Green
Keyword(s):  
Decision Making ◽  
Health Services ◽  
Hiv Positive ◽  
Hiv Diagnosis ◽  
Men And Women ◽  
Positive Diagnosis ◽  
Reproductive Decision ◽  
Reproductive Decision Making ◽  
Hiv Negative ◽  
Do So

SummaryThis report examines the consequences of a positive HIV diagnosis upon the reproductive decision-making of 39 men and women in Scotland. Whilst the majority initially decide never to have any (more) children this sometimes changes as other factors gain ascendancy, such as a partner wanting ‘their’ child, and about one-third had had a child or were intending to do so. The motivations underlying such decisions are discussed and ways in which health services could intervene to support people with HIV in making reproductive choices and to minimise the risk of transmission to an HIV-negative partner and the child are suggested.

scholarly journals Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Ariadna Huertas-Zurriaga ◽  
Patrick A. Palmieri ◽  
Joan E. Edwards ◽  
Sandra K. Cesario ◽  
Sergio Alonso-Fernandez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Qualitative Research ◽  
Research Synthesis ◽  
Developed Countries ◽  
Evidence Based ◽  
Reproductive Decision ◽  
Women Living With Hiv ◽  
Reproductive Decision Making ◽  
Living With Hiv

Abstract Background Women living with HIV (WLH) lack evidence-based information about reproductive options while managing pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force them to hide their disease to avoid rejection by their family, partner, and social networks. Compliance with social norms, fear of stigma, and discrimination influence their experience. Current research is individual qualitative studies lacking the synthesis perspective necessary to guide intervention development. The purpose of this study was to synthesize the evidence to explain the reproductive decision-making process for WLH in developed countries. Methods A systematic review with qualitative research synthesis was conducted through searches in 10 electronic databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, Google Scholar, Cuidatge, Cuiden Enfispo, and SciELO). Studies published in journals from 1995 to 2019 with qualitative data about reproductive decision-making among WLH in developed countries were eligible for inclusion. Developed country was operationalized by membership in the OECD for comparative conditions of social wellbeing and economic stability. The CASP and JBI checklists for qualitative research were used to assess study quality and methodological integrity. Thematic analysis and qualitative meta-summary techniques were used for the synthesis. Results Twenty studies from 12 developed countries were included in the synthesis. Findings were organized into 3 meta-themes from 15 themes and 45 subthemes, including: (1) Shattered identity, (2) Barriers, inequities, and misinformation, (3) Coping, resiliency, and support. Reproductive decision-making was perceived as a complex process influenced by facilitators and barriers. The facilitators helped WLH cope with their new situation to become more resilient, while the barriers made their situation more difficult to manage. Conclusion WLH encounter reproductive decision-making with knowledge deficits and limited social support. An integrated approach to holistic care with comprehensive multidisciplinary counseling is needed to support WLH. Clinicians could benefit from professional development to learn how to be authentically present for WLH, including engaging in conversations, demonstrating compassion, and understanding situations. Evidence-based clinical practice guidelines need to be tailored for the family planning and sexual health needs of WLH.

Reproductive decision‐making in families containing multiple individuals with epilepsy

Epilepsia ◽  
2021 ◽  
Author(s):  
Jacquelyn Nakamura ◽  
Shawn T. Sorge ◽  
Melodie R. Winawer ◽  
Jo C. Phelan ◽  
Wendy K. Chung ◽  
...  
Keyword(s):  
Decision Making ◽  
Reproductive Decision ◽  
Reproductive Decision Making
Sign in / Sign up

Export Citation Format

Share Document