Pregnancy care in two adolescents perinatally infected with HIV

Meloni, Alessandra; Tuveri, Milena; Floridia, Marco; Zucca, Francesca; Borghero, G; Gariel, Donatella; Melis, Gian Benedetto

doi:10.1080/09540120802511976

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…In the international context, to our knowledge, only two studies have examined the experience of HIV in teenage mothers. Meloni et al (2009) studied the feasibility of appropriate prenatal care for two pregnant Italian women (17 and 19 years of age), themselves infected by mother-to-child transmission (MTCT), and found potential difficulties in ART maintenance after birth. Abdalian and Wright (2000) studied pregnancy as the context in which young women initiate ART earlier.…”

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confidence: 99%

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Protective Factors in the Experience of Pregnancy and Motherhood Among Brazilian Adolescents Living With HIV: A Case-Series Report

Vescovi¹,

Pereira²

2014

Journal of the Association of Nurses in AIDS Care

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Pregnancy, motherhood, and HIV infection in adolescence are events with relevant biological, psychological, and social implications for mothers, their babies, and families. Our study aimed to identify protective factors of the experience of pregnancy and motherhood among young mothers living with HIV, highlighting similarities and differences. A mixed method multiple-case study was conducted with three young primiparous mothers (ages 17 to 19 years), whose babies were 4 to 6 months old. Participants were recruited from specialized care services in Porto Alegre, Brazil. Data were collected using social support and adherence-to-treatment questionnaires and a semi-structured interview. The following protective factors were identified: positive feelings about motherhood, positive assessments of received care and couple relationships, disclosure of HIV diagnosis to family members, family support, and accountability for infant care. Longitudinal studies would enhance the understanding of these factors, particularly if carried out with adolescents of different ages and focused on coping strategies.

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confidence: 99%

“…According to these authors, young mothers were more likely to meet the needs of children than their own health. This could explain the low engagement of young mothers in consultations after childbirth (Meloni et al, 2009).…”

mentioning

confidence: 99%

Protective Factors in the Experience of Pregnancy and Motherhood Among Brazilian Adolescents Living With HIV: A Case-Series Report

Vescovi¹,

Pereira²

2014

Journal of the Association of Nurses in AIDS Care

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“…Two reports in the literature discussed cases of HIV transmission from a mother with perinatally acquired HIV to her child (Brogly et al, 2007;Williams et al, 2009), while several other studies reported no vertical transmissions (CDC, 2003;Chibber & Khurranna, 2005;Crane et al, 1998;Levine et al, 2006;Meloni et al, 2009;Thorne et al, 2007). In one of the transmission cases, the mother was reported to have received combination ART (Brogly et al, 2007) while in the other case the mother refused ART and also refused Cesarean delivery (Williams et al, 2009).…”

Section: Discussionmentioning

confidence: 90%

“…We identified 11 studies that reported on pregnancies specifically in this population. Eight were reports from the United States (Bernstein, Trexler, & D'Angelo, 2006;Brogly et al, 2007;CDC, 2003;Crane, Sullivan, Feingold, & Kaufman, 1998;Ezeanolue et al, 2006;Koenig, Espinoza, Hodge, & Ruffo, 2007;Levine, Aaron, & Foster, 2006;Williams, KeaneTarchichi, Bettica, Dieudonne, & Bardeguez, 2009), two were from Europe (Meloni et al, 2009;Thorne, Townsend, Peckham, Newell, & Tookey, 2007), and one was from India (Chibber & Khurranna, 2005). Table 1 presents key characteristics of the 11 studies, including sample description, number of pregnancies, and pregnancy outcomes.…”

Section: Literature Review Of Pregnancies In Perinatally Infected Womenmentioning

confidence: 97%

Pregnancies in Perinatally HIV-Infected Young Women and Implications for Care and Service Programs

Millery

Vazquez

Walther

et al. 2012

Journal of the Association of Nurses in AIDS Care

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A cohort of individuals with perinatally acquired HIV is maturing into reproductive age. This study describes pregnancy incidence and outcomes among females ages 15-25 with perinatally acquired HIV infection receiving comprehensive family-centered services in New York City. Chart reviews from 1998-2006 indicated 33 pregnancies among 96 young women. Twenty-six percent of the cohort experienced a pregnancy during the study period, with a rate of 125 per 1,000 person years in 2006. The age of first pregnancy ranged from 15-25; 24% were younger than 18. Fourteen pregnancies (42%) were terminated. Nineteen pregnancies resulted in live births, and all infants tested negative for HIV. The success of preventing vertical HIV transmission is attributed to interdisciplinary family-centered services, including reproductive health education, family planning, obstetric-gynecologic services and psychosocial support. Such approach is most likely to be effective at promoting healthy reproductive decisions and reducing morbidity in perinatally infected mothers and their children.

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“…14 Por otro lado, es importante destacar las implicaciones somáticas que pueden presentarse con el embarazo a temprana edad ya que los resultados no solo afectan la madre sino también el desarrollo adecuado del bebé tanto en el ambiente intra y extrauterino, 7,15,16,17,18 no solo por agresiones externas sino también por factores intrínsecos y/o anatómicos propios de la madre adolescente, que serían causa de múltiples complicaciones y secuelas biológicas y psicológicas a corto, mediano y largo plazo, según la literatura revisada. 19,20,21 Sin embargo, esto es una consideración teórica, falta deter-Universidad de Manizales -Facultad de Ciencias de la Salud minar si sucede en la práctica; de allí nace el interés de investigar el comportamiento de este fenómeno en Manizales (Colombia), con el fin de poder confirmar o rechazar las conclusiones descritas desde la perspectiva de otros autores. Por esto se toma como población las gestantes cuyos partos fueron atendidos en la clínica San Cayetano de ASSBASALUD E.S.E de la ciudad de Manizales (Colombia), específicamente mujeres adolescentes en edades entre los 10 y 19 años, en relación con mujeres mayores de 19 años.…”

Section: Introductionunclassified

Principales hallazgos prenatales y postnatales en mujeres embarazadas adolescentes y adultas, cuyos partos fueron atendidos en la clínica San Cayetano de ASSBASALUD E.S.E Manizales (Colombia), 2009-2010./Key findings, prenatal and postnatal, in pregnant

Castrillón

Cárdenas

Loaiza

et al. 2012

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Objetivo: Evaluar los factores relacionados con la maternidad adolescente, con relación a un grupo de gestantes adultas y las particularidades potenciales que pueden repercutir en la salud de la madre y el neonato. Materiales y métodos: Estudio de corte transversal. Se incluyeron todas aquellas gestantes cuyos partos fueron atendidos en el centro de salud San Cayetano de ASSBASALUD E.S.E (Manizales, Colombia) entre los años 2009 y 2010. Resultados: Se analizaron 900 historias, el 99% de los partos fue vaginal, 64,2% de las gestantes <19 años presentó complicaciones en el parto, siendo la necesidad de episiotomía la más frecuente, 33,3%. El promedio de peso neonatal fue 3063 gr con 4,3% de bajo peso, el 49,6% de las gestantes >19 años tuvieron complicaciones en el parto siendo el desgarro grado II la más frecuente, promedio de peso neonatal 3163 con 3,1% de bajo peso. No hubo diferencias significativas entre ambos grupos en mortalidad materna, neonatal, malformación fetal, índide apgar al minuto, a los 5 minutos, talla neonatal, número de controles prenatales, etc. Además entre ambos grupos hubo diferencias significativas en consumo de sustancias, planeación del embarazo, escolaridad, empleo de anticonceptivos, peso materno, edad de inicio de relaciones sexuales, número de gravideces, y de partos, entre otras. Conclusiones: Si bien en esta población hay diferencias significativas entre adolescentes y adultas en peso del recién nacido, y complicaciones en el parto, estas asimetrías no son suficientes para producir diferencias de morbimortalidad entre los neonatos de gestantes adolescentes y adultas. Objective: To evaluate the factors associated with adolescent childbearing in relationto a group of pregnant adult women and the potential characteristics that may affectthe mother´s and newborn’s health.Materials and methods: Cross sectional study. We included all women who gave birthat the health center of San Cayetano ASSBASALUD E.S.E (Manizales, Colombia),between 2009 and 2010.Results: 900 clinic histories of pregnant women were analyzed. 99% of the child birthswhere delivered vaginally, 64.2% of the pregnant women younger than 19 year presentedsome kind of complication during delivery, being the most frequent complication thenecessity of episiotomy (33.3%); the average birth weight was of 3063gr and a 4.3% hada low weight. 49.6% of the pregnant women older than 19 presented some kind of complication,being tear grade II the most frequent; the average birth weight was of 3163grand a 3.1% presented low weight. There were no major differences between the twogroups regarding maternal mortality, neonatal mortality, fetus malformation, apgar scoreafter 1 minute, after 5 minutes, neonatal size, amount of prenatal controls, etc. Next tothis important differences were found between both groups regarding the consumptionof substances, planning of the pregnancy, schooling, use of contraceptives, maternalweight, age of first sexual relations, number of pregnancies, births between others.Conclusions: Although in this population important differences are found betweenadolescent ad adults regarding the weight of the newborn and difficulties during delivery,these differences are not sufficient to produce in the morbidity and mortality ofnewborns from adolescent and adult pregnant women.

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Pregnancy care in two adolescents perinatally infected with HIV

Cited by 7 publications

References 8 publications

Protective Factors in the Experience of Pregnancy and Motherhood Among Brazilian Adolescents Living With HIV: A Case-Series Report

Protective Factors in the Experience of Pregnancy and Motherhood Among Brazilian Adolescents Living With HIV: A Case-Series Report

Pregnancies in Perinatally HIV-Infected Young Women and Implications for Care and Service Programs

Principales hallazgos prenatales y postnatales en mujeres embarazadas adolescentes y adultas, cuyos partos fueron atendidos en la clínica San Cayetano de ASSBASALUD E.S.E Manizales (Colombia), 2009-2010./Key findings, prenatal and postnatal, in pregnant

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