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首页> 外文期刊>AIDS care. >Desire for motherhood: exploring HIV-positive women's desires, intentions and decision-making in attaining motherhood.
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Desire for motherhood: exploring HIV-positive women's desires, intentions and decision-making in attaining motherhood.

机译：对母亲的渴望：探索艾滋病毒阳性妇女在实现母亲方面的愿望，意图和决策。

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With access to prevention of parent-to-child transmission (PPTCT) and antiretroviral therapy (ARV), people living with HIV/AIDS are better able to consider childbearing and parenthood. However, there is limited understanding of the reproductive healthcare needs and the impact of infection on the fertility desires of women living with HIV/AIDS. Research on the relationship between fertility and HIV/AIDS has been largely clinical, focusing on the ability of women living with HIV/AIDS (WLHA) to conceive or their pregnancy outcomes. This paper describes the findings of a qualitative study undertaken in Namakkal district, Tamil Nadu, India that aimed to explore fertility desires, intentions and fertility decision-making in WLHA and the barriers they face in fulfilling these desires. In-depth interviews were held with selected 43 currently married WLHA aged 18-35 years and 10 key informants. The women were classified according to whether or not they had living children and, within that, whether they had experienced abortion, wanted more or any children or were pregnant. The main factors distinguishing women who wanted to have a child and those who did not were their levels of anxiety about the future and available family support. Women who indicated that they did not have family support and were stigmatised by the family were reluctant to opt for a pregnancy as they were not sure of the future, including child care in event of parental death. In contrast, those women who decided to have a child did so based on family support, especially when family members offered to take care of the child in the future in the event of parental death. Awareness and access to PPTCT and ARV was another key factor guiding the final decision on child bearing. Findings highlight the need for further research on issues faced by WLHA in fulfilling their fertility desires and intentions and for programmes that both enable WLHA to exercise informed choice in meeting their fertility desires and sensitise healthcare providers about these needs.
机译：有了预防亲子传播（PPTCT）和抗逆转录病毒疗法（ARV）的机会，艾滋病毒/艾滋病感染者便能够更好地考虑生育和生育。但是，对生殖保健的需要以及感染对感染艾滋病毒/艾滋病的妇女的生育能力的影响了解甚少。关于生育率和艾滋病毒/艾滋病之间关系的研究主要是临床研究，重点是艾滋病毒/艾滋病妇女（WLHA）的受孕能力或妊娠结局。本文描述了在印度泰米尔纳德邦纳马卡尔地区进行的定性研究的结果，该研究旨在探索WLHA中的生育欲，意图和生育决策以及他们在实现这些愿望时面临的障碍。对精选的43名年龄在18-35岁之间的已婚WLHA和10名主要被告进行了深入访谈。根据妇女是否有活产儿以及其中是否经历过流产，想要更多或任何孩子或怀孕对妇女进行分类。想要生育和不生育的女性之间的主要区别在于她们对未来的焦虑程度以及可获得的家庭支持。表示没有家庭支持并受到家庭污蔑的妇女不愿选择怀孕，因为她们不确定未来的发展，包括父母死亡时的儿童照料。相比之下，那些决定要孩子的妇女是在家庭支持下这样做的，特别是当父母在父母死亡的情况下家人将来提供照顾孩子的时候。对PPTCT和ARV的意识和使用是指导最终决定生育的另一个关键因素。研究结果强调，有必要对WLHA在满足其生育欲和意愿方面面临的问题进行进一步研究，并制定既能使WLHA在满足其生育欲方面行使知情选择并使医疗保健提供者对这些需求敏感的计划。

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