Coincidental discovery of HIV and pregnancy positive status in primary healthcare facilities.

Morongwa R Sekele, Mygirl P Lowane, Mathildah Mokgatle
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Abstract

Background:  HIV-positive and pregnancy diagnosis is a traumatic, shocking, and distressing experience for women. Adoption of routine HIV counselling and testing in the antenatal programme aimed to increase the uptake and the early diagnosis of HIV among pregnant women to prevent maternal HIV transmission to unborn babies and neonates.

Objectives:  The study aimed to explore the psychological reaction of women coincidentally discovering their HIV-positive status and pregnancy while seeking medical care in primary healthcare facilities in the Tshwane district.

Method:  Descriptive phenomenology involving a semi-structured in-depth interview was used to collect data. The sample was purposively selected. Twenty-eight women participated in the research project. Face-to-face in-depth audio recorded interviews were used to gain a full understanding of the experiences and feelings of the participants.

Results:  Reason for the uptake of pregnancy and HIV testing, reactions upon discovering HIV and pregnancy-positive status, emotions arising from the pregnancy and HIV-positive diagnosis, understanding HIV infection in pregnancy, and transitions to acceptance and coping with the HIV-positive diagnosis were themes that emerged from this study.

Conclusion:  It is crucial that responsible healthcare workers consider this psychological imbalance during their offering of antenatal and postnatal care services so that the pregnant women living with HIV can accept and cope with the situation.Contribution: This study accounts to support other studies that offer intense counselling for women coincidentally discovering their positive HIV status and pregnancy. It is important to remedy the acceptance of the situation and to promote HIV prevention and family planning for women of childbearing age.

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在初级医疗保健机构中偶然发现艾滋病毒和妊娠呈阳性的情况。
背景: 艾滋病毒呈阳性和妊娠诊断对妇女来说是一种创伤、震惊和痛苦的经历。在产前计划中采用常规艾滋病咨询和检测,旨在提高孕妇对艾滋病病毒的接受率和早期诊断率,以防止母体艾滋病病毒传播给胎儿和新生儿: 本研究旨在探讨在 Tshwane 地区的初级医疗保健机构就医时偶然发现自己艾滋病毒呈阳性和怀孕的妇女的心理反应: 方法:采用半结构式深度访谈的描述性现象学方法收集数据。样本是有目的性地选择的。28 名妇女参与了该研究项目。通过面对面的深度录音访谈,全面了解了参与者的经历和感受: 本研究得出的主题包括:接受妊娠和 HIV 检测的原因、发现 HIV 阳性和妊娠时的反应、妊娠和 HIV 阳性诊断引起的情绪、对妊娠期 HIV 感染的理解、接受和应对 HIV 阳性诊断的过渡: 结论:负责任的医护人员在提供产前和产后护理服务时必须考虑到这种心理失衡,以便感染 HIV 的孕妇能够接受和应对这种情况:本研究为其他研究提供了支持,这些研究为在发现自己艾滋病毒呈阳性和怀孕的同时发现自己艾滋病毒呈阳性的妇女提供了密集的咨询。重要的是,要纠正对这种情况的接受程度,并促进育龄妇女的艾滋病预防和计划生育。
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