Reproductive Decision‐Making Among HIV‐Positive Couples in Taiwan

Ko, Nai Ying; Muecke, Marjorie A.

doi:10.1111/j.1547-5069.2005.00008.x

Cited by 9 publications

(9 citation statements)

References 22 publications

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“…For instance, in a study from Taiwan, Ko and Muecke (2005) describe the power of Confucian doctrines to privilege the interests of men over those of women when reproductive decisions are made. 'The Confucian value of the ''Three Obediences'',' they write, 'required women to obey their husbands' decisions' (Ko and Muecke, 2005, 45).…”

Section: Reproductive Decision-making In the Context Of Gender And Kimentioning

confidence: 99%

Pregnancy decision-making among HIV positive women in Northern Vietnam: reconsidering reproductive choice

Gammeltoft

2011

Anthropology & Medicine

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The global HIV epidemic confronts pregnant women with hard reproductive choices. This paper offers a theoretically innovative and ethnographically sensitive exploration of the social processes through which 20 HIV positive women living in Northern Vietnam decide whether to continue or terminate their pregnancies. Arguing that human agency must be seen as an outcome of intersubjective engagements in shared social worlds, this paper explores how these women came to the decisions that they had to make and shows that women's choices were configured through everyday social relations, shaped through intimate engagements with husbands, parents, siblings, and in-laws. Based on the findings, it is recommended that pregnancy counseling is offered not only to the woman herself, but also, if she desires, involves members of her extended family.

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Section: Reproductive Decision-making In the Context Of Gender And Kimentioning

confidence: 99%

Pregnancy decision-making among HIV positive women in Northern Vietnam: reconsidering reproductive choice

Gammeltoft

2011

Anthropology & Medicine

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“…Even though women may intend to address this issue ''when the time is right, '' McCoy (2005) noted that when HIV-infected individuals do not feel comfortable or supported by their health care providers, they do not raise all of their concerns. Ko and Muecke (2005) reported that reproductive health issues tend to be ignored by health professionals in HIV-infected couples unless the HIV infection was diagnosed during the pregnancy. Thus, gaps in communication on this important topic may occur because individuals are not comfortable or because providers fail to initiate conversation on conception practices.…”

Section: Discussionmentioning

confidence: 97%

Conception Practices of HIV-Infected Women in the Midwest

Cibulka

2007

Journal of the Association of Nurses in AIDS Care

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The aim of this interpretive study was to understand pregnancy intentions and conception practices of HIV-infected women. A purposive sample of 3 White and 12 African American women who were interested in becoming mothers was recruited from a hospital clinic and a private practice in the Midwest. Participants were interviewed three times at monthly intervals. Data were analyzed using interpretive methods. Three conception practices were identified: (a) a technical method using self-insemination, (b) a minimize-risk approach based on use of highly active antiretroviral therapy, and (c) a default approach in which no plan for conception was evident. Although all of the women reported that they had talked with their health care providers about conception, most did not have adequate information to make an informed choice. Nurses play a critical role in shaping conception decisions by providing accurate, understandable information about conception practices specific to a woman's social realities and cultural values.

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“…The data reported in this study come from a more comprehensive study conducted in Southern Taiwan in 2002 13 . Couples were eligible for the study if 1) they were in a heterosexual intimate relationship in which at least one person was infected with HIV; 2) the female partner was between 20 and 45 years of age; 3) both partners had been informed of each other's HIV status; 4) they were confronting or had confronted reproductive decisions during pregnancy; and 5) they were able to communicate comfortably in Mandarin, Taiwanese dialect, or English (which were the languages of the first author who conducted the field work).…”

Section: Methodsmentioning

confidence: 99%

To Reproduce or Not: HIV‐Concordant Couples Make a Critical Decision During Pregnancy

Muecke

2005

J Midwife Womens Health

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Making decisions about whether to keep or terminate a pregnancy is an emotionally laden process for any woman. The purpose of this study was to explore gender-based power relationships and cultural influences on reproductive decision making during pregnancy among 4 HIV-concordant couples in Taiwan. Feminist ethnography was used to explore how reproductive decisions were made during pregnancy. The study findings showed that the process of a couple's decision making about their desired outcome of pregnancy can be categorized as occurring in 3 stages: shaping the meaning of the pregnancy, encountering medical systems, and structuring decisions. These Taiwanese couples interpreted the meaning of their pregnancy as a "kindly" reminder from God, to make them aware of the HIV status, and having a child as a way for them to demonstrate filial piety. A couple's perception of substantial support from senior family members and from health care providers was crucial to the decision to continue the pregnancy to term. The Confucian value of filial piety drove the couples' reproductive decisions during pregnancy.

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Reproductive Decision‐Making Among HIV‐Positive Couples in Taiwan

Abstract: HIV status was not the sole determinant of reproductive decisions made by HIV-positive couples. Rather, the Confucian value of filial piety drove the couples' reproductive decisions.

Cited by 9 publications

References 22 publications

Pregnancy decision-making among HIV positive women in Northern Vietnam: reconsidering reproductive choice

Pregnancy decision-making among HIV positive women in Northern Vietnam: reconsidering reproductive choice

Conception Practices of HIV-Infected Women in the Midwest

To Reproduce or Not: HIV‐Concordant Couples Make a Critical Decision During Pregnancy

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