Psychosocial issues in HIV positive women during the perinatal period] |
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| Authors: | N-R Diagne Gueye C Dollfus M-D Tabone F Hervé M-F Courcoux G Vaudre N Trocmé G Leverger |
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| Institution: | 1. Centre de recherche internationale pour la santé, UFR sciences de la santé, université de Ouagadougou, 09 BP 168, Ouagadougou 09, Burkina Faso;2. Inserm U1058, CHU de Montpellier, 34000 Montpellier, France;3. Centre MURAZ, ministère de la santé, Bobo-Dioulasso, Burkina Faso;4. Department of paediatrics and child heath, university of Zambia school of medicine, Lusaka, Zambie;5. University of Western Cape, Cape Town, Afrique du Sud;6. Department of paediatrics and child heath, college of health sciences, school of medicine, Makerere university, Kampala, Ouganda;7. Département de pédiatrie, université de Ouagadougou, CHU pédiatrique Charles-de-Gaulle, Ouagadougou, Burkina Faso;8. Centre for international health, university of Bergen, Bergen, Norvège;1. University of Bari ''Aldo Moro'', Clinic of Infectious Diseases, Bari, Italy;2. Clinical Epidemiology Unit, IRCCS San Matteo Foundation, Pavia, Italy;3. University of Chieti-Pescara ''G. D''Annunzio'', Clinic of Infectious Diseases, Chieti, Italy;1. Research Center, Department of Chemisry, Vemana Institute of Technology, VTU, Bangalore 560 064, India;2. Research Center, Department of Science, East West Institute of Technology, VTU, Bangalore 560 091, India;1. Division of Nephrology, Department of Medicine, University of California, San Francisco, California, USA;2. Department of Experimental and Clinical Medical Sciences, University of Udine, Udine, Italy;1. AP–HP, hôpital Necker–Enfants-malades, laboratoire de microbiologie, 75015 Paris, France;2. AP–HP, hôpital Necker–Enfants-malades, unité d’immunologie, hématologie et rhumatologie pédiatriques, 75015 Paris, France;3. EA 3620, université Paris Descartes, Sorbonne Paris Cité, 75006 Paris, France;4. Institut IMAGINE, université Paris Descartes, Sorbonne Paris Cité, 75006 Paris, France;1. Service de psychiatrie « C », faculté de médecine de Sfax, CHU de Hédi Chaker, Université de Sfax, 3029 Sfax, Tunisie;2. Service de médecine communautaire et d’épidémiologie, faculté de médecine de Sfax, CHU de Hédi-Chaker, Université de Sfax, Sfax, Tunisie;3. Service de neuropédiatrie, faculté de médecine de Sfax, CHU Hédi Chaker, Université de Sfax, Sfax, Tunisie |
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| Abstract: | OBJECTIVE: To study the feelings of HIV infected mothers during the perinatal period regarding circumstances of HIV diagnosis, disclosure to partner and fear of contamination. POPULATION AND METHODS: A study based upon personal interviews was carried out from November 2003 to January 2004 upon routine pediatric outpatient visits for infants born to HIV positive mothers. RESULTS: This study included 54 women of which 70% were from Sub-Saharan Africa. Fifty-nine per cent discovered their HIV status during a pregnancy. Seventy-seven per cent of partners were informed of maternal status. Among the women reluctant to inform their partner, the main reasons given were fear of violence and separation. Seventy-two per cent of interviewed women refused their spouses to be informed by the medical staff. Medical care during pregnancy (moral support, delivery) was judged as good by a majority of women (90%) who found the behavior of the staff mostly satisfactory. Final child serology remains the most definitive test for mothers, 47% of whom fear the risk of a potential postnatal contamination of their children. CONCLUSION: In these isolated women, many of whom have recently discovered their HIV status, a multidisciplinary approach including psychosocial support is essential. |
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