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01.12.2018 | Research article | Ausgabe 1/2018 Open Access

BMC Women's Health 1/2018

Role of HIV in the desire of procreation and motherhood in women living with HIV in Spain: a qualitative approach

Zeitschrift:
BMC Women's Health > Ausgabe 1/2018
Autoren:
Debora Alvarez-del Arco, Sabela Rodríguez, Mª. Jesús Pérez-Elías, Jose Ramón Blanco, Sandra Cuellar, Jorge del Romero, Ignacio Santos, Vicente Boix, Mar Masiá, Lydia Pascual, Victoria Hernando, CoRIS
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12905-017-0483-y) contains supplementary material, which is available to authorized users.

Abstract

Background

Improved antiretroviral treatments and decrease in vertical transmission of HIV have led to a higher number of women living with HIV to consider childbearing. However, stigma and social rejection result in specific challenges that HIV positive women with procreation intentions have to face with. Our objective was to in depth analyse elements shaping their desire for procreation and specifically investigate the impact of HIV.

Methods

A qualitative study was conducted through open interviews with 20 women living with HIV between 18 and 45 years of age, from the Spanish AIDS Research Network Cohort (CoRIS). Interviews were audio-recorded and transcribed. A content analysis was performed.

Results

HIV diagnosis is a turning point in women’s sexual and emotional life that is experienced traumatically. HIV diagnosis is usually associated with the fear of an immediate death and the idea of social isolation. At this moment, women temporarily reject future motherhood or having a sexual life. HIV status is only disclosed to the closed social circle and partner support is essential in HIV diagnosis assimilation process. Health professionals provide information on assisted reproductive technology and on how to minimize risk of partner HIV transmission. Most of barriers for procreation acknowledged by women are not related to HIV. However, women fear vertical transmission and experience other barriers derived from HIV infection. In this context, pregnancy makes women feel themselves as “normal women” despite HIV. Motherhood is considered an element of compensation that helps them to cope with HIV diagnosis. All these elements make health professionals key actors: they provide information and support after HIV diagnosis.

Conclusions

Barriers and drivers for procreation are similar among HIV positive women and general population. However, stigma and discrimination linked with HIV weigh in HIV positive women decision of motherhood. In this context, it is necessary to provide these women with the necessary counselling, guidance and resources to take decisions about procreation properly informed.
Zusatzmaterial
Additional file 1: “Interview script”. Interview script used to develop the interviews. In the Additional file 1 we included both, the original Spanish version and the English translation of the script. (DOCX 20 kb)
Literatur
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