+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Impact of single session post-partum counselling of HIV infected women on their subsequent reproductive behaviour

, : Impact of single session post-partum counselling of HIV infected women on their subsequent reproductive behaviour. Aids Care 2(3): 247-252

"During an ongoing study investigating the impact of maternal HIV infection on pregnancy outcome at a large maternity hospital in Nairobi, Kenya, asymptomatic HIV positive women who had recently delivered were informed of their HIV sero-status and counselled by a trained nurse regarding contraception and reproductive behaviour in a single session. Both HIV infected women and a comparison group of uninfected women matched for pregnancy outcome were followed up after an interval of one year. Contraceptive use, condom use and pregnancy rates were similar in both groups. Only 37% of HIV infected women had informed their partners of their sero-status. The single session of counselling for the HIV positive women did not seem to influence decisions on subsequent condom use or reproductive behaviour. More intensive approaches to counselling need to be developed and evaluated, but may be difficult to implement in the busy maternity and antenatal clinics commonly found in developing countries."[This is an important paper with serious implications for antenatal clinics and maternity services in developing countries, and perhaps also in developed countries. It describes the content of the single session of post-partum counselling at Pumwani Maternity Hospital in Nairobi, Kenya. The session described was extremely full-loaded with information and advice at a time when the mother is likely to be concentrating on the new baby and is recovering from the delivery. It is not very surprising that little change in subsequent behaviour in relation to reproduction was found on follow-up. The implications of the study are that a different approach to, as well as perhaps timing of, counselling will need to be taken, and appropriate resources allocated to establishing more effective ways of educating in order to change behaviour and attitudes.]Veronica Moss.


PMID: 2088520

DOI: 10.1080/09540129008257737

Other references

French, F.S.; Vanwyk, J.J., 1964: Fetal Hypothyroidism. I. Effects Of Thyroxine On Neural Development. Ii. Fetal Versus Maternal Contributions To Fetal Thyroxine Requirements. Iii. Clinical Implications. Journal of Pediatrics 64: 589-600

Welty, F.K.; Lichtenstein, A.H.; Barrett, R.; Ordovas, J.M.; Schaefer, E.J., 1997: Apolipoprotein B-48 and very low density and low density lipoprotein ApoB-100 kinetics in normal humans using stable isotope studies. Circulation 96(8 SUPPL ): I413, 10/21/97

Cosgrove, C.L.; Southgate, V.R., 2003: Interactions between Schistosoma intercalatum (Zaire strain) and S. mansoni. Schistosoma mansoni and S. intercalatum, two schistosomes from different evolutionary lineages, are parasitic in humans and therefore able to co-infect the same host where they occur sympatrically in Africa. Previous studies of mating interactions...

Fife, J.H.; Leonard, B.R.; Torrey, K.D.; Graves, J.B., 1996: Efficacy of insecticides against cotton aphid in the Macon Ridge Region of Louisiana, 1995. Burditt, A K , Jr [Editor] Arthropod Management Tests 249-250

Greenfogel, S.I.; Glubo, S.; Werner, J.; Sherman, M.; Lenet, M., 1984: Hallux varus--surgical correction and review of the literature. Acquired hallux varus may follow correction of hallux abducto valgus by the modified McBride procedure. The authors discuss correction of both acquired and congenital hallux varus and show pre- and postoperative illustrations of both types.

Agüero, A.; de Acquatella, G.C.; Linares, J., 1975: Penicillin induced haemolytic anaemia. Communication of a case. Sangre 20(3): 345-352

Ruckebusch, Y.; Roche, M.; Schurch, D., 1965: Parallelism of major psychodysleptic effects on the group toxicity and the cerebral content in serotonin. Mescaline increases the cerebral content in serotonin and suppresses the protector effect of reserpine towards group toxicity to amphetamine while LSD 25 [lysergic acid diethylamide] and JB 336 [N-methyl-3-piperdyl benzilate] which decrease or do...

Hendrickson D.A.; Juarez Romero L., 1990: Fish of the magdalena river basin sonora mexico and the status of the sonoran chub gila ditaenia a species threatened with extinction. The Sonora chub, Gila ditaenia, was listed as threatened by the United States Fish and Wildlife Service in 1986. This species, edemic to the Rio de la Concepcion drainage, the major part of which is in Sonora, occurs in the United States only in S...

McVey Douglas E.; Rogers Daniel T., 1998: Anthropogenic impact of heavy metals in soil in the Rouge River watershed, southeastern Michigan. To evaluate the anthropogenic impact of heavy metals in the Rouge River Watershed, 250 sites were selected from the review of 3000 project files from subsurface investigations of sites of environmental contamination. From the 250 sites, 5340 soil...

Schranz, C.; Becher, T.; Schädler, D.; Weiler, N.; Möller, K., 2013: Model-Based Ventilator Settings in Pressure Controlled Ventilation. Biomedizinische Technik. Biomedical Engineering: -