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首页> 外文期刊>AIDS care. >Providers' perspectives on preconception counseling and safer conception for HIV-infected women
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Providers' perspectives on preconception counseling and safer conception for HIV-infected women

机译：提供者对受艾滋病毒感染妇女的孕前咨询和更安全观念的观点

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Introduction: Unplanned pregnancy among HIV-infected women can have negative health consequences for women, partners, and neonates. Despite recommendations, preconception counseling (PCC) appears to be infrequently addressed in HIV care. This study explored knowledge, attitudes, and practices among health-care providers regarding PCC, safer conception and pregnancy among HIV-infected women. Methods: Physicians, physician assistants, and nurse practitioners (n = 14) providing obstetric/gynecological and HIV care in urban south Florida public and private hospitals completed structured qualitative interviews. Dominant themes arising included provider perceptions of patient knowledge and practices, provider knowledge and attitudes regarding safer conception, and provider practices regarding reproductive health. Results: Providers perceived patients to have limited reproductive knowledge. Patients' internalized HIV stigma was a barrier to patient initiation of conception-focused discussions. Provider knowledge and utilization of PCC protocols were limited. PCC barriers included competing medical priorities, failure to address fertility desires, limited knowledge, time limitations, and unclear standard of care. Providers routinely used condom-based HIV prevention as a proxy for addressing reproductive intentions. Discussion: Provider, patient, and structural factors prevented implementation of PCC and provision of information on safer conception; neither were routinely discussed during consultations. Both providers and patients may benefit from interventions to enhance communication on conception.
机译：简介：受艾滋病毒感染的妇女计划外怀孕会对妇女，伴侣和新生儿产生不利的健康影响。尽管提出了建议，但在HIV护理中似乎很少涉及孕前咨询（PCC）。这项研究探讨了医护人员之间关于PCC，HIV感染妇女中更安全的受孕和怀孕的知识，态度和做法。方法：在佛罗里达州南部城市的公立和私立医院提供产科/妇科和HIV护理的医师，医师助理和护士（n = 14）完成了结构化的定性访谈。出现的主要主题包括提供者对患者知识和实践的看法，提供者关于更安全概念的知识和态度以及提供者关于生殖健康的实践。结果：提供者认为患者的生殖知识有限。患者内在的HIV污名化是阻碍患者开展针对概念的讨论的障碍。提供者对PCC协议的了解和利用受到限制。 PCC的障碍包括相互竞争的医疗优先事项，无法满足生育欲，知识有限，时间有限以及护理标准不明确。提供者通常使用基于避孕套的HIV预防作为解决生殖意图的代理。讨论：提供者，患者和结构性因素阻止了PCC的实施，也无法提供有关更安全概念的信息;协商期间都没有定期讨论这两个问题。提供者和患者都可以从干预中受益，以加强有关受孕的沟通。

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