2.50
Hdl Handle:
http://hdl.handle.net/10755/163173
Category:
Abstract
Type:
Presentation
Title:
The lived experience of pregnancy after diagnosis with HIV: women's voices
Author(s):
Sanders, Lorraine
Author Details:
Lorraine Sanders, NP, CNM, DNSc, Associate Professor, Hunter Bellevue School of Nursing, Merrick, New York, United States, email: lsanders@optonline.net
Abstract:
Purpose: The purpose of this study is to explore the lived experience of choosing to bear a child after diagnosis with HIV and the emotional/psychological aspects of being HIV positive and pregnant. Background: The US Public Health Service recommends universal HIV testing for all women during pregnancy. It is estimated that more than 170,000 women of childbearing age are infected with HIV (CDC, 2003). The Centers for Disease Control and Prevention (CDC) reported significant reduction in vertical transmission of HIV for pregnant women who adhere to a regimen that includes highly active antiretroviral drug therapy (HAART). Methods (Design, Participants, Setting, Data Collection, Analytic approach): This qualitative phenomenological study was conducted using in depth semi structured interviews with women who reported being HIV positive and were currently pregnant, in the decision making process about achieving a pregnancy, or who had recently delivered a baby after diagnosis with HIV (n=12). Results: Initial data analysis of verbatim transcripts identify themes of initial denial or disbelief in relation to diagnosis, issues with disclosure, being valued as a diagnosis and not an individual, social isolation, stigma, negative judgment by others in personal and professional roles in relation to decision making, maternal role attainment resulting in hope and a positive future. Conclusions and Implications: Women with HIV have needs similar to women without HIV in relation to pregnancy. Pregnancy and the birth of a child symbolize a level of normalcy and hope for the future in the face of a chronic illness. Stigma remains a significant factor in relation to disclosure and perceived social isolation. Program design with an emphasis on non judgmental professional support and education are essential to pregnant women with HIV. Further research is needed to determine best practice for stigma reduction as women enter the health care system.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe lived experience of pregnancy after diagnosis with HIV: women's voicesen_GB
dc.contributor.authorSanders, Lorraineen_US
dc.author.detailsLorraine Sanders, NP, CNM, DNSc, Associate Professor, Hunter Bellevue School of Nursing, Merrick, New York, United States, email: lsanders@optonline.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/163173-
dc.description.abstractPurpose: The purpose of this study is to explore the lived experience of choosing to bear a child after diagnosis with HIV and the emotional/psychological aspects of being HIV positive and pregnant. Background: The US Public Health Service recommends universal HIV testing for all women during pregnancy. It is estimated that more than 170,000 women of childbearing age are infected with HIV (CDC, 2003). The Centers for Disease Control and Prevention (CDC) reported significant reduction in vertical transmission of HIV for pregnant women who adhere to a regimen that includes highly active antiretroviral drug therapy (HAART). Methods (Design, Participants, Setting, Data Collection, Analytic approach): This qualitative phenomenological study was conducted using in depth semi structured interviews with women who reported being HIV positive and were currently pregnant, in the decision making process about achieving a pregnancy, or who had recently delivered a baby after diagnosis with HIV (n=12). Results: Initial data analysis of verbatim transcripts identify themes of initial denial or disbelief in relation to diagnosis, issues with disclosure, being valued as a diagnosis and not an individual, social isolation, stigma, negative judgment by others in personal and professional roles in relation to decision making, maternal role attainment resulting in hope and a positive future. Conclusions and Implications: Women with HIV have needs similar to women without HIV in relation to pregnancy. Pregnancy and the birth of a child symbolize a level of normalcy and hope for the future in the face of a chronic illness. Stigma remains a significant factor in relation to disclosure and perceived social isolation. Program design with an emphasis on non judgmental professional support and education are essential to pregnant women with HIV. Further research is needed to determine best practice for stigma reduction as women enter the health care system.en_GB
dc.date.available2011-10-27T11:02:41Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:41Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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