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'Every pregnant woman needs a midwife'--the experiences of HIV affected women in maternity care.

Abstract：

TITLE:'Every pregnant woman needs a midwife'-the experiences of HIV affected women in Northern Ireland. OBJECTIVE:to explore HIV positive women's experiences of pregnancy and maternity care, with a focus on their interactions with midwives. DESIGN:a prospective qualitative study. SETTING:regional HIV unit in Northern Ireland. PARTICIPANTS:22 interviews were conducted with 10 women at different stages of their reproductive trajectories. FINDINGS:the pervasive presence of HIV related stigma threatened the women's experience of pregnancy and care. The key staff attributes that facilitated a positive experience were knowledge and experience, empathy and understanding of their unique needs and continuity of care. KEY CONCLUSIONS:pregnancy in the context of HIV, whilst offering a much needed sense of normality, also increases woman's sense of anxiety and vulnerability and therefore the need for supportive interventions that affirm normality is intensified. A maternity team approach, with a focus on providing 'balanced care' could meet all of the woman and child's medical needs, whilst also emphasising the normalcy of pregnancy.

journal_name

Midwifery

journal_title

Midwifery

authors

Kelly C,Alderdice F,Lohan M,Spence D

doi

10.1016/j.midw.2011.12.003

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

132-8

issue

2

eissn

0266-6138

issn

1532-3099

pii

S0266-6138(11)00209-9

journal_volume

29

pub_type

杂志文章

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