"Everything I Needed from Her Was Everything She Gave Back to Me:" An Evaluation of Preconception Counseling for U.S. HIV-serodiscordant Couples Desiring Pregnancy

Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health
Emmeline FriedmanJenell S Coleman

Abstract

We sought to evaluate preconception counseling (PCC) through a qualitative examination of the experiences of couples with serodiscordant human immunodeficiency virus (HIV) status desiring pregnancy. Patients involved in HIV-serodiscordant relationships who received PCC between January 2013 and January 2015 were recruited to participate in 40-minute semistructured telephone interviews. Participants were asked about their experiences with PCC and the impact of counseling on their knowledge of safer conception strategies and reproductive decisions. Two researchers independently coded interview transcripts, and delineated common ideas to generate emerging themes from participants' responses. Eleven respondents completed the interviews, including nine women and two men. Six respondents were HIV positive. Our thematic analysis revealed that patients gained knowledge and confidence through PCC that conception was both possible and safe. They had varied reactions to assisted reproductive technologies that correlated with income level, and explored complicated weighing of personal risk of HIV transmission. Patients reported major challenges including poor access to PCC, difficulty identifying peak fertility periods, and lack of long-ter...Continue Reading

References

Aug 1, 2006·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Frank J PalellaUNKNOWN HIV Outpatient Study Investigators
Dec 10, 2009·PloS One·Mona R LoutfyUNKNOWN Ontario HIV Fertility Research Team
May 21, 2010·AIDS Patient Care and STDs·Sarah Finocchario-KesslerJean R Anderson
Mar 31, 2011·AIDS Patient Care and STDs·Kathleen E SquiresJudith A Aberg
Apr 5, 2011·American Journal of Obstetrics and Gynecology·Margaret A LampeSteven R Nesheim
Sep 29, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Richard D MooreJohn G Bartlett
Jan 13, 2015·Journal of the International AIDS Society·Caiyun LiaoJenell S Coleman
Apr 4, 2015·Infectious Diseases in Obstetrics and Gynecology·Rupsa C BoeligJean Anderson
May 10, 2015·Fertility and Sterility·UNKNOWN Ethics Committee of American Society for Reproductive Medicine

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Citations

Dec 22, 2020·The Journal of the Association of Nurses in AIDS Care : JANAC·Joanne Phillips SimoneDeborah S Storm
Jan 4, 2021·Maternal and Child Health Journal·Roxanne Mirabal-BeltranSarah Finocchario-Kessler

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