Experiences of Fetal or Infant Loss among Tanzanian Women in HIV Care.

IF 2.5 4区心理学 Q2 PSYCHOLOGY, SOCIAL

Journal of Loss & Trauma Pub Date : 2019-01-01 Epub Date: 2019-04-29 DOI:10.1080/15325024.2019.1600850

Godfrey A Kisigo, Preeti Manavalan, Cody Cichowitz, Brandon A Knettel, Blandina T Mmbaga, Melissa H Watt

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.

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坦桑尼亚接受艾滋病毒护理的妇女失去胎儿或婴儿的经历。

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。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Loss & Trauma PSYCHOLOGY, SOCIAL-

CiteScore

9.50

自引率

4.30%

发文量

期刊介绍： In one forum, Journal of Loss and Trauma brings together scholarship on personal losses relating to family, health, and aging issues. The journal addresses issues dealing with psychological and physical health and interpersonal losses relative to extended family, community life, and society as a whole. In order to broaden the reader"s perspective on loss and bereavement, the journal defines loss as a major reduction in a person"s resources, whether personal, material, or symbolic, to which the person was emotionally attached. Types of loss covered include: death and dying; dissolution and divorce; loss of employment; life-threatening diseases and long-term disability; loss of possessions; homelessness.