Previous experiences of pregnancy and early motherhood among women living with HIV: a latent class analysis

Autor:	Mona Loutfy, Alexandra de Pokomandy, Joanne Otis, Tracey Conway, Marilyn Fortin-Hughes, Isabelle Boucoiran, Saara Greene, Karène Proulx-Boucher, Logan Kennedy, Kath Webster, Angela Kaida, Brigitte Ménard, Carl Rodrigue
Rok vydání:	2019
Předmět:	Adult Canada medicine.medical_specialty Health (social science) Social Psychology media_common.quotation_subject HIV Infections Miscarriage Cohort Studies 03 medical and health sciences 0302 clinical medicine Pregnancy Humans Medicine 030212 general & internal medicine Pregnancy Complications Infectious media_common Reproductive health 030505 public health business.industry Public Health Environmental and Occupational Health medicine.disease Latent class model Feeling Latent Class Analysis Family Planning Services Family medicine Women's Health Female Pregnancy Partner 0305 other medical science business Live birth Cohort study
Zdroj:	AIDS Care. 31:1427-1434
ISSN:	1360-0451 0954-0121
Popis:	Previous maternity experiences may influence subsequent reproductive intentions and motherhood experiences. We used latent class analysis to identify patterns of early motherhood experience reported for the most recent live birth of 905 women living with HIV enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Four indicators were used: difficulties getting pregnant, feelings when finding out pregnancy, feelings during pregnancy, and feelings during the first year postpartum. Most (70.8%) pregnancies analyzed occurred before HIV diagnosis. A four-class maternity experience model was selected: "overall positive experience" (40%); "positive experience with postpartum challenges" (23%); "overall mixed experience" (14%); and "overall negative experience" (23%). Women represented in the "overall negative experience" class were more likely to be younger at delivery, to not know the HIV status of their pregnancy partner, and to report previous pregnancy termination. Women represented in the "positive experience with postpartum challenges" class were more likely to report previous miscarriage, stillbirth or ectopic pregnancy. We found no associations between timing of HIV diagnosis (before, during or after pregnancy) and experience patterns. Recognition of the different patterns of experiences can help providers offer a more adapted approach to reproductive counseling of women with HIV.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e7ff2b99cd3c884607e77bd8ddd3a9b3 https://doi.org/10.1080/09540121.2019.1587374 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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