Factors Influencing Repeat Pregnancies among Hiv-Positive Mothers in Ibadan, Nigeria
DOI:
https://doi.org/10.51699/ijhsms.v2i9.2594Keywords:
Repeat Pregnancies, HIV-positive mothers, IbadanAbstract
Introduction: HIV is a leading cause of morbidity and mortality among women of reproductive age worldwide, with significant implications for maternal and child health. This study focuses on the complex decision-making process around childbearing among HIV-positive women in Ibadan, Nigeria, where the HIV epidemic is a pressing concern.
Aim: The study aims to understand the factors influencing repeat pregnancies among HIV-positive mothers in Ibadan, Nigeria, and contribute to improved maternal and infant HIV-free survival.
Methods: Data was collected from 400 HIV-positive pregnant women attending an antenatal clinic. The study examined socio-demographic characteristics, sexual and reproductive history, knowledge of PMTCT, contraceptive knowledge and use, HIV diagnosis, and disclosure. Statistical analysis was conducted using SPSS.
Results: The study revealed a relatively young and diverse population, with high awareness of PMTCT and HIV transmission modes. Most participants were diagnosed with HIV before pregnancy, but some were diagnosed during pregnancy. While 39.0% desired more children, 61.0% did not due to concerns about HIV transmission. Discussions about future childbearing with spouses were reported by 46.0% of participants.
Conclusion: HIV-positive women in Ibadan, Nigeria, face a complex dilemma between their desire for more children and the fear of HIV transmission. A comprehensive approach that provides medical guidance, psychological support, and education while challenging societal stigmas is crucial. Empowering these women with information and support networks can help them make informed decisions while reducing the risk of HIV transmission.
Recommendations: Healthcare providers should offer comprehensive counseling and support to HIV-positive women to address their reproductive desires and concerns. There is a need for community-based interventions to challenge societal norms and reduce stigma around HIV and childbearing. Policymakers should prioritize the development and implementation of strategies that improve maternal and infant HIV-free survival.
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