Motherhood and decision-making among women living with HIV in developed countries: A systematic review with qualitative research synthesis

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dc.contributor.authorHuertas-Zurriaga, Ariadna
dc.contributor.authorPalmieri, Patrick A.
dc.contributor.authorEdwards, Joan E.
dc.contributor.authorCesario, Sandra
dc.contributor.authorAlonso-Fernandez, Sergio
dc.contributor.authorPardell-Dominguez, Lidia
dc.contributor.authorDominguez-Cancino, Karen A.
dc.contributor.authorLeyva-Moral, Juan M.
dc.creator.orcidhttps://orcid.org/0000-0002-2804-0878
dc.date.accessioned2021-11-17T16:02:04Z
dc.date.available2021-11-17T16:02:04Z
dc.date.issued2021
dc.descriptionArticle originally published in Reproductive Health 18, 148 (2021). English. Published online 2021. https://doi.org/10.1186/s12978-021-01197-6
dc.description.abstractBackground: Women living with HIV (WLH) lack evidence-based information about reproductive options while managing pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force them to hide their disease to avoid rejection by their family, partner, and social networks. Compliance with social norms, fear of stigma, and discrimination influence their experience. Current research is individual qualitative studies lacking the synthesis perspective necessary to guide intervention development. The purpose of this study was to synthesize the evidence to explain the reproductive decision-making process for WLH in developed countries.en_US
dc.description.abstractMethods: A systematic review with qualitative research synthesis was conducted through searches in 10 electronic databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, Google Scholar, Cuidatge, Cuiden Enfispo, and SciELO). Studies published in journals from 1995 to 2019 with qualitative data about reproductive decision-making among WLH in developed countries were eligible for inclusion. Developed country was operationalized by membership in the OECD for comparative conditions of social wellbeing and economic stability. The CASP and JBI checklists for qualitative research were used to assess study quality and methodological integrity. Thematic analysis and qualitative meta-summary techniques were used for the synthesis.
dc.description.abstractResults: Twenty studies from 12 developed countries were included in the synthesis. Findings were organized into 3 meta-themes from 15 themes and 45 subthemes, including: (1) Shattered identity, (2) Barriers, inequities, and misinformation, (3) Coping, resiliency, and support. Reproductive decision-making was perceived as a complex process influenced by facilitators and barriers. The facilitators helped WLH cope with their new situation to become more resilient, while the barriers made their situation more difficult to manage.
dc.description.abstractConclusion: WLH encounter reproductive decision-making with knowledge deficits and limited social support. An integrated approach to holistic care with comprehensive multidisciplinary counseling is needed to support WLH. Clinicians could benefit from professional development to learn how to be authentically present for WLH, including engaging in conversations, demonstrating compassion, and understanding situations. Evidence-based clinical practice guidelines need to be tailored for the family planning and sexual health needs of WLH.
dc.identifier.citationThis is a published version of an article that is available at https://doi.org/10.1186/s12978-021-01197-6. Recommended citation: Huertas-Zurriaga, A., Palmieri, P.A., Edwards, J.E. et al. Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis. Reproductive Health 18, 148 (2021). This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.en_US
dc.identifier.urihttps://hdl.handle.net/11274/13407
dc.identifier.urihttps://doi.org/10.1186/s12978-021-01197-6
dc.publisherBMCen_US
dc.rights.licenseCC-BY
dc.subjectAIDSen_US
dc.subjectHIVen_US
dc.subjectDecision-makingen_US
dc.subjectPregnancyen_US
dc.subjectReproductive healthen_US
dc.subjectWomenen_US
dc.titleMotherhood and decision-making among women living with HIV in developed countries: A systematic review with qualitative research synthesisen_US
dc.typeArticleen_US

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