Godfrey A Kisigo, Preeti Manavalan, Cody Cichowitz, Brandon A Knettel, Blandina T Mmbaga, Melissa H Watt
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引用次数: 0
Abstract
This study examined the impact of fetal or infant loss on HIV care engagement. We conducted semi-structured interviews with 15 HIV-infected women who experienced fetal or infant loss while enrolled in prevention of mother-to-child transmission (PMTCT) services in Tanzania. Women attributed the loss to delays in receiving healthcare. Provider communication about the cause of the loss was poor, and women reported substantial distress related to the loss. One-fifth reported gaps in HIV care or disengagement from care following their loss. Loss of a fetus or infant is not uncommon in HIV endemic settings, and should be integrated into PMTCT guidelines.
本研究探讨了失去胎儿或婴儿对参与 HIV 护理的影响。我们对 15 名感染了艾滋病病毒的妇女进行了半结构化访谈，这些妇女在坦桑尼亚接受预防母婴传播（PMTCT）服务时经历了胎儿或婴儿死亡。妇女们将胎儿或婴儿死亡的原因归咎于接受医疗服务的延误。医疗服务提供者对胎儿或婴儿夭折的原因沟通不畅，妇女们报告了与胎儿或婴儿夭折有关的巨大痛苦。五分之一的妇女报告称，在失去孩子后，她们的艾滋病护理服务出现了缺口，或者脱离了护理服务。在艾滋病毒流行的环境中，失去胎儿或婴儿的情况并不少见，应将其纳入预防母婴传播指南。
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