Motherhood and HIV: reproductive desire, ambivalent feelings and a/an (not) offered care

Silva, Clarissa Bohrer da; Motta, Maria da Graça Corso da; Bellenzani, Renata

doi:10.1590/0034-7167-2018-0063

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Brasil

Revista Brasileira de Enfermagem

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Brasil

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Sumário

REVIEW • Rev. Bras. Enferm. 72 (5) • Sep-Oct 2019 • https://doi.org/10.1590/0034-7167-2018-0063 copy

Motherhood and HIV: reproductive desire, ambivalent feelings and a/an (not) offered care

Maternidad y VIH: deseo reproductivo, sentimientos ambivalentes y cuidado (no) oferecido

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To identify in the scientific literature the feelings of women living with HIV in relation to reproduction and motherhood, as well as the care provided by health professionals regarding reproductive health as a right.

Method:

Integrative review carried out in 2017, in the databases LILACS, PUBMED, BDENF and SciELO Virtual Library. We analyzed 30 articles.

Results:

As feelings, the motivation for reproduction and self-care, fears, uncertainties and hopes were evidenced. As care, services that support reproductive decisions were evidenced, but, predominantly, the disregard for the desire and care incipience for reproductive planning.

Conclusion:

There is no comprehensive and humanized work on the reproductive issues of these women, either through the neglect of the desire and viability of gestation or by the incipient care to the ambivalent emotional experiences. There is a need to qualify the care model in order to configure it, in fact, as care, aiming at guaranteeing reproductive rights.

Descriptors:
HIV; Acquired Immunodeficiency Syndrome; Pregnancy; Sexual and Reproductive Rights; Women’s Health

Article/Year/ Country	Objective	Outlining/ Population
Article 1⁽¹³13 Spindola T, Dantas KTB, Cadavez NFV, Fonte VRF, Oliveira DC. Maternity perception by pregnant women living with HIV. Invest Educ Enferm [Internet]. 2015 [cited 2017 Dec 12];33(3): 440-8. Available from: http://www.scielo.org.co/pdf/iee/v33n3/v33n3a07.pdf http://www.scielo.org.co/pdf/iee/v33n3/v... ⁾ 2015, Brazil	To identify the perception of pregnant women living with HIV about motherhood and to know the expectations and feelings experienced by these women	Qualitative study. P= 10 pregnant women with HIV
Article 2⁽¹⁴14 Marlow HM, Maman S, Groves AK, Moodley D. Fertility intent and contraceptive decision-making among HIV positive and negative antenatal clinic attendees in Durban, South Africa. Health Care Women Int [Internet]. 2012 [cited 2017 Dec 12];33(4):342-58. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083738/pdf/nihms593819.pdf https://www.ncbi.nlm.nih.gov/pmc/article... ⁾ 2012, South Africa	To explore contraceptive decision-making among antenatal clinic participants in South Africa, fertility intent after HIV diagnosis, and women's experiences in government health services	Qualitative study. P= 18 women, being 10 seronegative and 8 seropositive
Article 3⁽¹⁵15 Santos NJS, Buchalla CM, Fillipe EV, Bugamelli L, Garcia S, Paiva V. Reproduction and sexuality in HIV-positive women, Brazil. Rev Saúde Pública [Internet]. 2002 [cited 2017 Dec 12];36(4 Suppl):12-23. http://www.scielo.br/pdf/rsp/v36n4s0/11159.pdf http://www.scielo.br/pdf/rsp/v36n4s0/111... ⁾ 2002, Brazil	To study issues related to sexuality and reproductive health of HIV positive women, their access to prevention practices, their adherence to treatments and the possibility to make conscious choices regarding pregnancy.	Quantitative study. P= 148 women with HIV
Article 4⁽¹⁶16 Sant'Anna ACC, Seidl EMF. [Effects of seropositivity in reproductive choices of women living with HIV/Aids]. Psicol Reflex Crit [Internet]. 2009 [cited 2017 Dec 12]; 22(2): 244-51. Available from: http://www.scielo.br/pdf/prc/v22n2/a11v22n2.pdf Portuguese http://www.scielo.br/pdf/prc/v22n2/a11v2... ⁾ 2009, Brazil	To investigate the perception of women with HIV/AIDS regarding the effects of seropositivity on their reproductive choices.	Qualitative study. P= 30 women with HIV
Article 5⁽¹⁷17 Paiva V, Santos N, França-Junior I, Filipe E, Ayres JR, Segurado A. Desire to Have Children: gender and reproductive rights of men and women living with HIV: a challenge to health care in Brazil. AIDS Patient Care STDS [Internet]. 2007 [cited 2017 Dec 12];21(4):268-77. Available from: http://www.ip.usp.br/portal/images/stories/Nepaids/desire_to_have.pdf http://www.ip.usp.br/portal/images/stori... ⁾ 2007, Brazil	To describe attitudes toward parenthood and identify factors associated with the desire to have children among men and women living with HIV	Quantitative, cross-sectional study. P= 533 women and 206 men
Article 6⁽¹⁸18 Cechim PL, Perdomini FRI, Quaresma LM. [HIV positive pregnant women who do not follow the prenatal prophylaxis]. Rev Bras Enferm [Internet]. 2007 [cited 2017 Dec 10];60(5):519-23. Available from: http://www.scielo.br/pdf/reben/v60n5/v60n5a07.pdf portuguese http://www.scielo.br/pdf/reben/v60n5/v60... ⁾ 2007, Brazil	To investigate the non-adherence of pregnant women carriers of HIV/AIDS to the treatment recommended by the Ministry of Health in the prenatal period.	Qualitative study. P = 7 women not adherent to prophylaxis during pregnancy
Article 7⁽¹⁹19 Camillo SO, Silva LO, Cortes JM, Maiorino FT. [The desire to be a mother facing HIV/AIDS infection]. Rev Enferm Cent O Min[Internet]. 2015[cited 2017 Dec 12];5(1):1439-56. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/552/834 Portuguese http://www.seer.ufsj.edu.br/index.php/re... ⁾ 2015, Brazil	To describe the desire to be a mother with HIV and identify her feelings and perceptions regarding this issue	Qualitative study. P= 1 patient with HIV
Article 8⁽²⁰20 Teixeira SVB, Silva GS, Silva CS, Moura MAV. Women living with HIV: the decision to become pregnant. Rev Pesqui: Cuid Fundam [Internet]. 2013[cited 2017 Dec 8];5(1):3159-67. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/1869/pdf_672 http://www.seer.unirio.br/index.php/cuid... ⁾ 2013, Brazil	To analyze the perception of HIV-positive women about the decision to become pregnant; Investigate knowledge about HIV care in the prevention of Vertical Transmission.	Qualitative study. P= 8 women HIV
Article 9⁽²¹21 Silva NEK, Alvarenga AT, Ayres JRCM. AIDS and pregnancy: meanings of risk and challenges for care. Rev Saúde Pública [Internet]. 2006 [cited 2017 Dec 12];40(3):474-81. Available from: http://www.scielo.br/pdf/rsp/v40n3/en_16.pdf http://www.scielo.br/pdf/rsp/v40n3/en_16... ⁾ 2006, Brazil	To understand how the risk of HIV transmission is apprehended and reconstructed by people living with HIV/AIDS in their reproductive decisions.	Qualitative study. P= 8 women and men
Article 10⁽²²22 London L, Orner PJ, Myer L. 'even if you're positive, you still have rights because you are a person': human rights and the reproductive choice of HIV-positive persons. Dev World Bioeth. 2008 Apr;8(1):11-22.⁾ 2008, South Africa	To investigate the perceptions and experiences of women and men on the care and treatment of HIV/AIDS and sexual and reproductive health care.	Qualitative study. P= 35 women an 27 men
Article 11⁽²³23 Langendorf TF, Padoin SMM, Paula CC, Souza IEO, Terra MG, Silva CB. Quotidian of being-a-couple: meanings of HIV vertical transmission prophylaxis and assessment possibilities. Esc Anna Nery [Internet]. 2015[cited 2017 Dec 12];19(2):259-64. Available from: http://www.scielo.br/pdf/ean/v19n2/en_1414-8145-ean-19-02-0259.pdf http://www.scielo.br/pdf/ean/v19n2/en_14... ⁾ 2015, Brazil	To unveil the meaning of HIV Vertical Transmission prophylaxis for the couple.	Qualitative study. P= 7 couples
Article 12⁽²⁴24 Liamputtong P, Haritavorn N. My life as Mae Tid Chua mothers who contracted HIV disease: Motherhood and women living with HIV/AIDS in central Thailand. Midwifery [Internet]. 2014 [cited 2017 Dec 12];30(12):1166-72. Available from: http://www.midwiferyjournal.com/article/S0266-6138(14)00100-4/pdf http://www.midwiferyjournal.com/article/... ⁾ 2014, Tailândia	To explore the experiences of pregnancy and birth, motherhood and infant feeding practices among women living with HIV/AIDS in Thailand.	Qualitative study. P= 26 people with HIV
Article 13⁽²⁵25 Van Dijk MG, Wilson KS, Silva M, Contreras X, Fukuda HD, García SG. Health Care Experiences of HIV-Infected Women With Fertility Desires in Mexico: a qualitative study. J Assoc Nurses AIDS Care. 2014;25(3):224-32. doi: 10.1016/j.jana.2013.04.006 https://doi.org/10.1016/j.jana.2013.04.0... ⁾ 2014, México	To explore the experiences of HIV-infected women who have sought health care for a current or recent pregnancy.	Qualitative study. P= 31 women with HIV
Article 14⁽²⁶26 Zihlmann KF, Alvarenga AT. What is this desire? Reproductive decisions among women living with HIV/Aids from a psychoanalysis perspective. Saúde Soc [Internet]. 2015 [cited 2017 Dec 8];24(2):633-45. Available from: http://www.scielo.br/pdf/sausoc/v24n2/en_0104-1290-sausoc-24-02-00633.pdf http://www.scielo.br/pdf/sausoc/v24n2/en... ⁾ 2015, Brazil	To know how women living with HIV/AIDS attach meaning to their reproductive decisions, as well as characterize their unconscious desire.	Qualitative study. P= 15 women com HIV
Article 15⁽²⁷27 Aguiar JM, Simões-Barbosa RH. Relationship between health care professionals and HIV positive women: a gender approach. Cad Saúde Pública [Internet]. 2006 [cited 2017 Dec 12];22(10):2115-23. Available from: http://www.scielo.br/pdf/csp/v22n10/10.pdf http://www.scielo.br/pdf/csp/v22n10/10.p... ⁾ 2006, Brazil	To analyze when and how gender representations and ideologies permeate and structure professional/patient relationships around AIDS treatment.	Qualitative study. P= 7 professionals and 10 HIV-positive women
Article 16⁽²⁸28 Alvarenga WA, Silva MR, Nascimento LC, Wernet M, Oliveira FFD, Dupas G. Experience of family members providing care for HIV-exposed children: beginning of the trajectory. Rev Gaúcha Enferm[Internet]. 2014[cited 2017 Dec 12];35(3):68-74. Available from: http://seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/43938/31511 http://seer.ufrgs.br/index.php/RevistaGa... ⁾ 2014, Brazil	To analyze the experience of family members in the care of the mother child with HIV to reduce the risk of VT, with emphasis on the beginning of this trajectory.	Qualitative study. P= 36 family members of children exposed to HIV
Article 17⁽²⁹29 Paiva SS, Galvão MTG, Pagliuca LMF, Almeida PC. Non-Verbal Mother-Child Communication in conditions of Maternal HIV in an Experimental Environment. Rev Latino-Am Enfermagem [Internet]. 2010 [cited 2017 Dec 12];18(1):[08 telas]. Available from: https://www.revistas.usp.br/rlae/article/view/4117/4994 https://www.revistas.usp.br/rlae/article... ⁾ 2010, Brazil	To verify non-verbal communication between mother and child during maternal HIV.	Experimental research. P= 5 mothers with HIV
Article 18⁽³⁰30 Vasconcelos SG, Galvão MTG, Aguiar MIF, Braga VAB. The perception of pregnant women dealing with HIV infection - an exploratory study Online Braz J Nurs [Internet]. 2006 [cited 2017 Dec 12];5(1):[6 páginas]. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/61/19 http://www.objnursing.uff.br/index.php/n... ⁾ 2006, Brazil	To apprehend the feelings experienced by pregnant women with HIV.	Qualitative study. P= 9 pregnant women
Article 19⁽³¹31 Paiva V, Ayres JRCM, Segurado AC, Lacerda R, Silva NG, Silva MH, et al. The sexuality of HIV-positive Adolescents: rights and challenges for healthcare. Ciênc Saúde Coletiva [Internet]. 2011 [cited 2017 Dec 12];16(10):4199-210. Available from: http://www.scielo.br/pdf/csc/v16n10/a25v16n10.pdf http://www.scielo.br/pdf/csc/v16n10/a25v... ⁾ 2011, Brazil	To understand how HIV positive teens deal with their sexual experiences and dating projects, desire to start a family and to have children.	Qualitative study. P = 21 HIV teenagers and 13 caregivers
Article 20⁽³²32 van den Akker TVA, Bemelmans M, Ford N, Jemu M, Diggle E, Scheffer S, Zulu I, Akesson A, Shea J. HIV care need not hamper maternity care: a descriptive analysis of integration of services in rural Malawi. BJOG [Internet]. 2012 [cited 2017 Dec 12];119:431-8. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2011.03229.x/epdf http://onlinelibrary.wiley.com/doi/10.11... ⁾ 2012, Malawi	To evaluate the use of reproductive health care and incidence of pediatric infection during the expansion of Antiretroviral Therapy and services for the prevention of vertical transmission in rural areas of Malawi.	Descriptive quantitative study through review of records and databases.
Article 21⁽³³33 French CE, Cortina-Borja M, Thorne C, Tookey PA. Incidence, patterns, and predictors of repeat pregnancies among HIV-infected women in the United Kingdom and Ireland, 1990-2009. J Acquir Immune Defic Syndr [Internet]. 2012 [cited 2017 Dec 18]; 59(3): 287-93. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3378493/pdf/ukmss-38020.pdf https://www.ncbi.nlm.nih.gov/pmc/article... ⁾ 2012, United Kingdom and Ireland	To explore the pattern of pregnancy replication among HIV-infected women, estimate the rate of these sequential pregnancies, and investigate the demographics and clinics of the women who experience them.	Quantitative study. P= 14,096 pregnancies in 10,568 women
Article 22⁽³⁴34 Gogna ML, Pecheny MM, Ibarlucía I, Manzelli H, López SB. The reproductive needs and rights of people living with HIV in Argentina: Health service users' and providers' perspectives. Soc Sci Med. 2009 Sep;69(6):813-20.⁾ 2009, Argentina	To explore the experiences and contraceptive and reproductive needs of people living with HIV and the responses of public health services to them in Argentina.	Qualitative study. P = 841 people with HIV and 89 coordinators and professionals from HIV programs
Article 23⁽³⁵35 Faria ER, Gonçalves TR, Carvalho FT, Lopes RCS, Piccinini CA. Coping Strategies Among Brazilian Pregnant Women Living With HIV. Paidéia [Internet]. 2014 [cited 2017 Dec 12];24(57):67-74. Available from: http://www.scielo.br/pdf/paideia/v24n57/0103-863X-paideia-24-57-0067.pdf http://www.scielo.br/pdf/paideia/v24n57/... ⁾ 2014, Brazil	To identify coping strategies of 77 pregnant HIV-positive women enrolled in a public health service.	Quantitative, cross-sectional study. P=77 HIV-positive pregnant women
Article 24⁽³⁶36 Kendall T, Albert C. Experiences of coercion to sterilize and forced sterilization among women living with HIV in Latin America. J Int AIDS Soc [Internet]. 2015 [cited 2017 Dec 8]; 18(1): 19462. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4374084/pdf/JIAS-18-19462.pdf https://www.ncbi.nlm.nih.gov/pmc/article... ⁾ 2015, Latin American countries	To analyze qualitatively reports of how and when health care providers pressed women to sterilize.	Qualitative study. P = 285 women with HIV
Article 25⁽³⁷37 Oliveira F, et al. HIV-positive women in northeast Brazil: Tubal sterilization, medical recommendation and reproductive rights. AIDS Care[Internet]. 2007[cited 2017 Dec 8];19(10):1258-65. Available from: https://www.researchgate.net/publication/5776367_HIV-positive_women_in_northeast_Brazil_Tubal_sterilization_medical_recommendation_and_reproductive_rights https://www.researchgate.net/publication... ⁾ 2007, Brazil	To describe the main reasons why HIV-positive women decide to be sterilized and identify the factors associated with the choice of sterilization in HIV-positive women in Ceará State, Northeast Brazil.	Quantitative, cross-sectional study. P= 357 women with HIV
Article 26⁽³⁸38 Gombachika BC, Chirwa E, Malata A, Sundby J, Fjeld H. Reproductive decisions of couples living with HIV in Malawi: What can we learn for future policy and research studies? Malawi Med J [Internet]. 2013[cited 2017 Dec 12];25(3):65-71. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3859991/pdf/MMJ2503-0065.pdf https://www.ncbi.nlm.nih.gov/pmc/article... ⁾ 2013, Malawi	To analyze policies and guidelines on HIV and sexual and reproductive health in Malawi for content on marriage and childbirth for HIV-positive couples.	Qualitative study. P= 20 couples with HIV
Article 27⁽³⁹39 Rossi A, Amaral E, Makuch MY. Access of people living with HIV to infertility services: perspective of Brazilian healthcare professionals. AIDS Care. 2011;23(10):1329-35. doi: 10.1080/09540121.2011.564113 https://doi.org/10.1080/09540121.2011.56... ⁾ 2011, Brazil	To evaluate the perspective of professionals of university reproduction and public assistance technology (ART) and HIV/AIDS services in Brazil, on the demand of people living with HIV who wish to conceive.	Qualitative, quantitative cross-sectional case study. P= HIV service professionals and managers.
Article 28⁽⁴⁰40 Romanelli RMC, et al. Profile of HIV-infected pregnant women at a reference prenatal care service in Belo Horizonte(MG). Rev Bras Saúde Matern Infant [Internet]. 2006 [cited 2017 Dec 12];6(3): 329-34. Available from: http://www.scielo.br/pdf/rbsmi/v6n3/31904.pdf http://www.scielo.br/pdf/rbsmi/v6n3/3190... ⁾ 2006, Brazil	To identify HIV-infected pregnant women in a referral center and investigate infection and parity characteristics.	Cross-sectional study. P= 85 women with HIV
Article 29⁽⁴¹41 Horwood C, Butler LM, Haskins L, Phakathi S, Rollins N. HIV-infected adolescent mothers and their infants: low coverage of HIV services and high risk of HIV transmission in KwaZulu-Natal, South Africa. PLoS ONE[Internet]. 2013[cited 2017 Dec 12];8(9):e74568. Available from: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0074568 http://journals.plos.org/plosone/article... ⁾ 2013, South Africa	To compare the characteristics of teenager and adult mothers, including HIV prevalence and VT rates.	Quantitative study. P= 19,093 mothers with HIV
Article 30⁽⁴²42 Vaz MJR, Barros SMO. Gestantes infectadas pelo HIV: caracterização e diagnósticos de enfermagem. Acta Paul Enferm[Internet]. 2002[cited 2017 Dec 8];15(2):7-17. Available from: https://www.researchgate.net/publication/277298197_Gestantes_infectadas_pelo_HIV_-_caracterizacao_dos_diagnosticos_de_enfermagem https://www.researchgate.net/publication... ⁾ 2002, Brazil	To characterize and raise the nursing diagnoses of HIV-infected pregnant women in a specialized prenatal service.	Quantitative study. P= 25 pregnant women with HIV

	n	%
Origin
Brazil	20	68
South Africa	3	10
East Africa (Malawi)	2	7
United Kingdom and Ireland	1	3
Thailand	1	3
Mexico	1	3
Argentina	1	3
Latin American countries (El Salvador, Honduras, Mexico and Nicaragua)	1	3
Knowledge field
Nursing	9	30
Multiprofessional	15	50
Medicine	4	13
Psychology	2	7
Year of publication
2011-2016	17	57
2006-2010	11	37
2000-2005	2	7
Research outlining
Experimental study	1	3
Quantitative cross-sectional	9	30
Qualitative	19	64
Qualitative and quantitative, cross-sectional study and case study	1	3
Level of evidence
4	1	3
6	29	97
Total	30	100

Category	Aspects	Articles
Feelings of women living with HIV regarding the possibility of motherhood and in the course of a pregnancy	Motivation for reproduction: the desire to be mothers versus the desire postponed or abolished after the diagnosis of HIV infection	⁽ ¹³13 Spindola T, Dantas KTB, Cadavez NFV, Fonte VRF, Oliveira DC. Maternity perception by pregnant women living with HIV. Invest Educ Enferm [Internet]. 2015 [cited 2017 Dec 12];33(3): 440-8. Available from: http://www.scielo.org.co/pdf/iee/v33n3/v33n3a07.pdf http://www.scielo.org.co/pdf/iee/v33n3/v... 14 Marlow HM, Maman S, Groves AK, Moodley D. Fertility intent and contraceptive decision-making among HIV positive and negative antenatal clinic attendees in Durban, South Africa. Health Care Women Int [Internet]. 2012 [cited 2017 Dec 12];33(4):342-58. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083738/pdf/nihms593819.pdf https://www.ncbi.nlm.nih.gov/pmc/article... 15 Santos NJS, Buchalla CM, Fillipe EV, Bugamelli L, Garcia S, Paiva V. Reproduction and sexuality in HIV-positive women, Brazil. Rev Saúde Pública [Internet]. 2002 [cited 2017 Dec 12];36(4 Suppl):12-23. http://www.scielo.br/pdf/rsp/v36n4s0/11159.pdf http://www.scielo.br/pdf/rsp/v36n4s0/111... 16 Sant'Anna ACC, Seidl EMF. [Effects of seropositivity in reproductive choices of women living with HIV/Aids]. Psicol Reflex Crit [Internet]. 2009 [cited 2017 Dec 12]; 22(2): 244-51. Available from: http://www.scielo.br/pdf/prc/v22n2/a11v22n2.pdf Portuguese http://www.scielo.br/pdf/prc/v22n2/a11v2... 17 Paiva V, Santos N, França-Junior I, Filipe E, Ayres JR, Segurado A. Desire to Have Children: gender and reproductive rights of men and women living with HIV: a challenge to health care in Brazil. AIDS Patient Care STDS [Internet]. 2007 [cited 2017 Dec 12];21(4):268-77. Available from: http://www.ip.usp.br/portal/images/stories/Nepaids/desire_to_have.pdf http://www.ip.usp.br/portal/images/stori... 18 Cechim PL, Perdomini FRI, Quaresma LM. [HIV positive pregnant women who do not follow the prenatal prophylaxis]. Rev Bras Enferm [Internet]. 2007 [cited 2017 Dec 10];60(5):519-23. Available from: http://www.scielo.br/pdf/reben/v60n5/v60n5a07.pdf portuguese http://www.scielo.br/pdf/reben/v60n5/v60... 19 Camillo SO, Silva LO, Cortes JM, Maiorino FT. [The desire to be a mother facing HIV/AIDS infection]. Rev Enferm Cent O Min[Internet]. 2015[cited 2017 Dec 12];5(1):1439-56. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/552/834 Portuguese http://www.seer.ufsj.edu.br/index.php/re... 20 Teixeira SVB, Silva GS, Silva CS, Moura MAV. Women living with HIV: the decision to become pregnant. Rev Pesqui: Cuid Fundam [Internet]. 2013[cited 2017 Dec 8];5(1):3159-67. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/1869/pdf_672 http://www.seer.unirio.br/index.php/cuid... 21 Silva NEK, Alvarenga AT, Ayres JRCM. AIDS and pregnancy: meanings of risk and challenges for care. Rev Saúde Pública [Internet]. 2006 [cited 2017 Dec 12];40(3):474-81. Available from: http://www.scielo.br/pdf/rsp/v40n3/en_16.pdf http://www.scielo.br/pdf/rsp/v40n3/en_16... ^- ²²22 London L, Orner PJ, Myer L. 'even if you're positive, you still have rights because you are a person': human rights and the reproductive choice of HIV-positive persons. Dev World Bioeth. 2008 Apr;8(1):11-22. ^, ³¹31 Paiva V, Ayres JRCM, Segurado AC, Lacerda R, Silva NG, Silva MH, et al. The sexuality of HIV-positive Adolescents: rights and challenges for healthcare. Ciênc Saúde Coletiva [Internet]. 2011 [cited 2017 Dec 12];16(10):4199-210. Available from: http://www.scielo.br/pdf/csc/v16n10/a25v16n10.pdf http://www.scielo.br/pdf/csc/v16n10/a25v... ⁾
	Fears and insecurities regarding the uncertainties regarding the clinical outcomes of effective gestation	⁽ ¹³13 Spindola T, Dantas KTB, Cadavez NFV, Fonte VRF, Oliveira DC. Maternity perception by pregnant women living with HIV. Invest Educ Enferm [Internet]. 2015 [cited 2017 Dec 12];33(3): 440-8. Available from: http://www.scielo.org.co/pdf/iee/v33n3/v33n3a07.pdf http://www.scielo.org.co/pdf/iee/v33n3/v... 14 Marlow HM, Maman S, Groves AK, Moodley D. Fertility intent and contraceptive decision-making among HIV positive and negative antenatal clinic attendees in Durban, South Africa. Health Care Women Int [Internet]. 2012 [cited 2017 Dec 12];33(4):342-58. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083738/pdf/nihms593819.pdf https://www.ncbi.nlm.nih.gov/pmc/article... ^- ¹⁵15 Santos NJS, Buchalla CM, Fillipe EV, Bugamelli L, Garcia S, Paiva V. Reproduction and sexuality in HIV-positive women, Brazil. Rev Saúde Pública [Internet]. 2002 [cited 2017 Dec 12];36(4 Suppl):12-23. http://www.scielo.br/pdf/rsp/v36n4s0/11159.pdf http://www.scielo.br/pdf/rsp/v36n4s0/111... ^, ¹⁹19 Camillo SO, Silva LO, Cortes JM, Maiorino FT. [The desire to be a mother facing HIV/AIDS infection]. Rev Enferm Cent O Min[Internet]. 2015[cited 2017 Dec 12];5(1):1439-56. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/552/834 Portuguese http://www.seer.ufsj.edu.br/index.php/re... ^- ²⁰20 Teixeira SVB, Silva GS, Silva CS, Moura MAV. Women living with HIV: the decision to become pregnant. Rev Pesqui: Cuid Fundam [Internet]. 2013[cited 2017 Dec 8];5(1):3159-67. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/1869/pdf_672 http://www.seer.unirio.br/index.php/cuid... ^, ²²22 London L, Orner PJ, Myer L. 'even if you're positive, you still have rights because you are a person': human rights and the reproductive choice of HIV-positive persons. Dev World Bioeth. 2008 Apr;8(1):11-22. 23 Langendorf TF, Padoin SMM, Paula CC, Souza IEO, Terra MG, Silva CB. Quotidian of being-a-couple: meanings of HIV vertical transmission prophylaxis and assessment possibilities. Esc Anna Nery [Internet]. 2015[cited 2017 Dec 12];19(2):259-64. Available from: http://www.scielo.br/pdf/ean/v19n2/en_1414-8145-ean-19-02-0259.pdf http://www.scielo.br/pdf/ean/v19n2/en_14... 24 Liamputtong P, Haritavorn N. My life as Mae Tid Chua mothers who contracted HIV disease: Motherhood and women living with HIV/AIDS in central Thailand. Midwifery [Internet]. 2014 [cited 2017 Dec 12];30(12):1166-72. Available from: http://www.midwiferyjournal.com/article/S0266-6138(14)00100-4/pdf http://www.midwiferyjournal.com/article/... 25 Van Dijk MG, Wilson KS, Silva M, Contreras X, Fukuda HD, García SG. Health Care Experiences of HIV-Infected Women With Fertility Desires in Mexico: a qualitative study. J Assoc Nurses AIDS Care. 2014;25(3):224-32. doi: 10.1016/j.jana.2013.04.006 https://doi.org/10.1016/j.jana.2013.04.0... 26 Zihlmann KF, Alvarenga AT. What is this desire? Reproductive decisions among women living with HIV/Aids from a psychoanalysis perspective. Saúde Soc [Internet]. 2015 [cited 2017 Dec 8];24(2):633-45. Available from: http://www.scielo.br/pdf/sausoc/v24n2/en_0104-1290-sausoc-24-02-00633.pdf http://www.scielo.br/pdf/sausoc/v24n2/en... 27 Aguiar JM, Simões-Barbosa RH. Relationship between health care professionals and HIV positive women: a gender approach. Cad Saúde Pública [Internet]. 2006 [cited 2017 Dec 12];22(10):2115-23. Available from: http://www.scielo.br/pdf/csp/v22n10/10.pdf http://www.scielo.br/pdf/csp/v22n10/10.p... 28 Alvarenga WA, Silva MR, Nascimento LC, Wernet M, Oliveira FFD, Dupas G. Experience of family members providing care for HIV-exposed children: beginning of the trajectory. Rev Gaúcha Enferm[Internet]. 2014[cited 2017 Dec 12];35(3):68-74. Available from: http://seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/43938/31511 http://seer.ufrgs.br/index.php/RevistaGa... ^- ²⁹29 Paiva SS, Galvão MTG, Pagliuca LMF, Almeida PC. Non-Verbal Mother-Child Communication in conditions of Maternal HIV in an Experimental Environment. Rev Latino-Am Enfermagem [Internet]. 2010 [cited 2017 Dec 12];18(1):[08 telas]. Available from: https://www.revistas.usp.br/rlae/article/view/4117/4994 https://www.revistas.usp.br/rlae/article... ⁾
	Effective gestation produces feelings of hope, renewal and greater motivation for self-care	⁽ ¹³13 Spindola T, Dantas KTB, Cadavez NFV, Fonte VRF, Oliveira DC. Maternity perception by pregnant women living with HIV. Invest Educ Enferm [Internet]. 2015 [cited 2017 Dec 12];33(3): 440-8. Available from: http://www.scielo.org.co/pdf/iee/v33n3/v33n3a07.pdf http://www.scielo.org.co/pdf/iee/v33n3/v... ^, ¹⁵15 Santos NJS, Buchalla CM, Fillipe EV, Bugamelli L, Garcia S, Paiva V. Reproduction and sexuality in HIV-positive women, Brazil. Rev Saúde Pública [Internet]. 2002 [cited 2017 Dec 12];36(4 Suppl):12-23. http://www.scielo.br/pdf/rsp/v36n4s0/11159.pdf http://www.scielo.br/pdf/rsp/v36n4s0/111... ^, ¹⁹19 Camillo SO, Silva LO, Cortes JM, Maiorino FT. [The desire to be a mother facing HIV/AIDS infection]. Rev Enferm Cent O Min[Internet]. 2015[cited 2017 Dec 12];5(1):1439-56. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/552/834 Portuguese http://www.seer.ufsj.edu.br/index.php/re... ^- ²⁰20 Teixeira SVB, Silva GS, Silva CS, Moura MAV. Women living with HIV: the decision to become pregnant. Rev Pesqui: Cuid Fundam [Internet]. 2013[cited 2017 Dec 8];5(1):3159-67. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/1869/pdf_672 http://www.seer.unirio.br/index.php/cuid... ^, ²⁴24 Liamputtong P, Haritavorn N. My life as Mae Tid Chua mothers who contracted HIV disease: Motherhood and women living with HIV/AIDS in central Thailand. Midwifery [Internet]. 2014 [cited 2017 Dec 12];30(12):1166-72. Available from: http://www.midwiferyjournal.com/article/S0266-6138(14)00100-4/pdf http://www.midwiferyjournal.com/article/... 25 Van Dijk MG, Wilson KS, Silva M, Contreras X, Fukuda HD, García SG. Health Care Experiences of HIV-Infected Women With Fertility Desires in Mexico: a qualitative study. J Assoc Nurses AIDS Care. 2014;25(3):224-32. doi: 10.1016/j.jana.2013.04.006 https://doi.org/10.1016/j.jana.2013.04.0... 26 Zihlmann KF, Alvarenga AT. What is this desire? Reproductive decisions among women living with HIV/Aids from a psychoanalysis perspective. Saúde Soc [Internet]. 2015 [cited 2017 Dec 8];24(2):633-45. Available from: http://www.scielo.br/pdf/sausoc/v24n2/en_0104-1290-sausoc-24-02-00633.pdf http://www.scielo.br/pdf/sausoc/v24n2/en... ^- ²⁷27 Aguiar JM, Simões-Barbosa RH. Relationship between health care professionals and HIV positive women: a gender approach. Cad Saúde Pública [Internet]. 2006 [cited 2017 Dec 12];22(10):2115-23. Available from: http://www.scielo.br/pdf/csp/v22n10/10.pdf http://www.scielo.br/pdf/csp/v22n10/10.p... ^, ²⁹29 Paiva SS, Galvão MTG, Pagliuca LMF, Almeida PC. Non-Verbal Mother-Child Communication in conditions of Maternal HIV in an Experimental Environment. Rev Latino-Am Enfermagem [Internet]. 2010 [cited 2017 Dec 12];18(1):[08 telas]. Available from: https://www.revistas.usp.br/rlae/article/view/4117/4994 https://www.revistas.usp.br/rlae/article... ^- ³⁰30 Vasconcelos SG, Galvão MTG, Aguiar MIF, Braga VAB. The perception of pregnant women dealing with HIV infection - an exploratory study Online Braz J Nurs [Internet]. 2006 [cited 2017 Dec 12];5(1):[6 páginas]. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/61/19 http://www.objnursing.uff.br/index.php/n... ⁾
Care provided and not provided by health professionals to women living with HIV with regard to reproductive health as a right	Support for reproductive decisions on safe means to effect the desire for pregnancy in fact or during prenatal care	⁽ ¹⁹19 Camillo SO, Silva LO, Cortes JM, Maiorino FT. [The desire to be a mother facing HIV/AIDS infection]. Rev Enferm Cent O Min[Internet]. 2015[cited 2017 Dec 12];5(1):1439-56. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/552/834 Portuguese http://www.seer.ufsj.edu.br/index.php/re... ^, ²¹21 Silva NEK, Alvarenga AT, Ayres JRCM. AIDS and pregnancy: meanings of risk and challenges for care. Rev Saúde Pública [Internet]. 2006 [cited 2017 Dec 12];40(3):474-81. Available from: http://www.scielo.br/pdf/rsp/v40n3/en_16.pdf http://www.scielo.br/pdf/rsp/v40n3/en_16... ^, ²³23 Langendorf TF, Padoin SMM, Paula CC, Souza IEO, Terra MG, Silva CB. Quotidian of being-a-couple: meanings of HIV vertical transmission prophylaxis and assessment possibilities. Esc Anna Nery [Internet]. 2015[cited 2017 Dec 12];19(2):259-64. Available from: http://www.scielo.br/pdf/ean/v19n2/en_1414-8145-ean-19-02-0259.pdf http://www.scielo.br/pdf/ean/v19n2/en_14... ^, ³²32 van den Akker TVA, Bemelmans M, Ford N, Jemu M, Diggle E, Scheffer S, Zulu I, Akesson A, Shea J. HIV care need not hamper maternity care: a descriptive analysis of integration of services in rural Malawi. BJOG [Internet]. 2012 [cited 2017 Dec 12];119:431-8. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2011.03229.x/epdf http://onlinelibrary.wiley.com/doi/10.11... 33 French CE, Cortina-Borja M, Thorne C, Tookey PA. Incidence, patterns, and predictors of repeat pregnancies among HIV-infected women in the United Kingdom and Ireland, 1990-2009. J Acquir Immune Defic Syndr [Internet]. 2012 [cited 2017 Dec 18]; 59(3): 287-93. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3378493/pdf/ukmss-38020.pdf https://www.ncbi.nlm.nih.gov/pmc/article... ^- ³⁴34 Gogna ML, Pecheny MM, Ibarlucía I, Manzelli H, López SB. The reproductive needs and rights of people living with HIV in Argentina: Health service users' and providers' perspectives. Soc Sci Med. 2009 Sep;69(6):813-20. ⁾
	Disregard for the reproductive demands of women living with HIV	⁽ ¹⁴14 Marlow HM, Maman S, Groves AK, Moodley D. Fertility intent and contraceptive decision-making among HIV positive and negative antenatal clinic attendees in Durban, South Africa. Health Care Women Int [Internet]. 2012 [cited 2017 Dec 12];33(4):342-58. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083738/pdf/nihms593819.pdf https://www.ncbi.nlm.nih.gov/pmc/article... ^- ¹⁵15 Santos NJS, Buchalla CM, Fillipe EV, Bugamelli L, Garcia S, Paiva V. Reproduction and sexuality in HIV-positive women, Brazil. Rev Saúde Pública [Internet]. 2002 [cited 2017 Dec 12];36(4 Suppl):12-23. http://www.scielo.br/pdf/rsp/v36n4s0/11159.pdf http://www.scielo.br/pdf/rsp/v36n4s0/111... ^, ¹⁹19 Camillo SO, Silva LO, Cortes JM, Maiorino FT. [The desire to be a mother facing HIV/AIDS infection]. Rev Enferm Cent O Min[Internet]. 2015[cited 2017 Dec 12];5(1):1439-56. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/552/834 Portuguese http://www.seer.ufsj.edu.br/index.php/re... 20 Teixeira SVB, Silva GS, Silva CS, Moura MAV. Women living with HIV: the decision to become pregnant. Rev Pesqui: Cuid Fundam [Internet]. 2013[cited 2017 Dec 8];5(1):3159-67. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/1869/pdf_672 http://www.seer.unirio.br/index.php/cuid... ^- ²¹21 Silva NEK, Alvarenga AT, Ayres JRCM. AIDS and pregnancy: meanings of risk and challenges for care. Rev Saúde Pública [Internet]. 2006 [cited 2017 Dec 12];40(3):474-81. Available from: http://www.scielo.br/pdf/rsp/v40n3/en_16.pdf http://www.scielo.br/pdf/rsp/v40n3/en_16... ^, ²⁴24 Liamputtong P, Haritavorn N. My life as Mae Tid Chua mothers who contracted HIV disease: Motherhood and women living with HIV/AIDS in central Thailand. Midwifery [Internet]. 2014 [cited 2017 Dec 12];30(12):1166-72. Available from: http://www.midwiferyjournal.com/article/S0266-6138(14)00100-4/pdf http://www.midwiferyjournal.com/article/... 25 Van Dijk MG, Wilson KS, Silva M, Contreras X, Fukuda HD, García SG. Health Care Experiences of HIV-Infected Women With Fertility Desires in Mexico: a qualitative study. J Assoc Nurses AIDS Care. 2014;25(3):224-32. doi: 10.1016/j.jana.2013.04.006 https://doi.org/10.1016/j.jana.2013.04.0... 26 Zihlmann KF, Alvarenga AT. What is this desire? Reproductive decisions among women living with HIV/Aids from a psychoanalysis perspective. Saúde Soc [Internet]. 2015 [cited 2017 Dec 8];24(2):633-45. Available from: http://www.scielo.br/pdf/sausoc/v24n2/en_0104-1290-sausoc-24-02-00633.pdf http://www.scielo.br/pdf/sausoc/v24n2/en... 27 Aguiar JM, Simões-Barbosa RH. Relationship between health care professionals and HIV positive women: a gender approach. Cad Saúde Pública [Internet]. 2006 [cited 2017 Dec 12];22(10):2115-23. Available from: http://www.scielo.br/pdf/csp/v22n10/10.pdf http://www.scielo.br/pdf/csp/v22n10/10.p... ^- ²⁸28 Alvarenga WA, Silva MR, Nascimento LC, Wernet M, Oliveira FFD, Dupas G. Experience of family members providing care for HIV-exposed children: beginning of the trajectory. Rev Gaúcha Enferm[Internet]. 2014[cited 2017 Dec 12];35(3):68-74. Available from: http://seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/43938/31511 http://seer.ufrgs.br/index.php/RevistaGa... ^, ³¹31 Paiva V, Ayres JRCM, Segurado AC, Lacerda R, Silva NG, Silva MH, et al. The sexuality of HIV-positive Adolescents: rights and challenges for healthcare. Ciênc Saúde Coletiva [Internet]. 2011 [cited 2017 Dec 12];16(10):4199-210. Available from: http://www.scielo.br/pdf/csc/v16n10/a25v16n10.pdf http://www.scielo.br/pdf/csc/v16n10/a25v... ^, ³⁴34 Gogna ML, Pecheny MM, Ibarlucía I, Manzelli H, López SB. The reproductive needs and rights of people living with HIV in Argentina: Health service users' and providers' perspectives. Soc Sci Med. 2009 Sep;69(6):813-20. 35 Faria ER, Gonçalves TR, Carvalho FT, Lopes RCS, Piccinini CA. Coping Strategies Among Brazilian Pregnant Women Living With HIV. Paidéia [Internet]. 2014 [cited 2017 Dec 12];24(57):67-74. Available from: http://www.scielo.br/pdf/paideia/v24n57/0103-863X-paideia-24-57-0067.pdf http://www.scielo.br/pdf/paideia/v24n57/... 36 Kendall T, Albert C. Experiences of coercion to sterilize and forced sterilization among women living with HIV in Latin America. J Int AIDS Soc [Internet]. 2015 [cited 2017 Dec 8]; 18(1): 19462. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4374084/pdf/JIAS-18-19462.pdf https://www.ncbi.nlm.nih.gov/pmc/article... 37 Oliveira F, et al. HIV-positive women in northeast Brazil: Tubal sterilization, medical recommendation and reproductive rights. AIDS Care[Internet]. 2007[cited 2017 Dec 8];19(10):1258-65. Available from: https://www.researchgate.net/publication/5776367_HIV-positive_women_in_northeast_Brazil_Tubal_sterilization_medical_recommendation_and_reproductive_rights https://www.researchgate.net/publication... 38 Gombachika BC, Chirwa E, Malata A, Sundby J, Fjeld H. Reproductive decisions of couples living with HIV in Malawi: What can we learn for future policy and research studies? Malawi Med J [Internet]. 2013[cited 2017 Dec 12];25(3):65-71. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3859991/pdf/MMJ2503-0065.pdf https://www.ncbi.nlm.nih.gov/pmc/article... 39 Rossi A, Amaral E, Makuch MY. Access of people living with HIV to infertility services: perspective of Brazilian healthcare professionals. AIDS Care. 2011;23(10):1329-35. doi: 10.1080/09540121.2011.564113 https://doi.org/10.1080/09540121.2011.56... 40 Romanelli RMC, et al. Profile of HIV-infected pregnant women at a reference prenatal care service in Belo Horizonte(MG). Rev Bras Saúde Matern Infant [Internet]. 2006 [cited 2017 Dec 12];6(3): 329-34. Available from: http://www.scielo.br/pdf/rbsmi/v6n3/31904.pdf http://www.scielo.br/pdf/rbsmi/v6n3/3190... ^- ⁴¹41 Horwood C, Butler LM, Haskins L, Phakathi S, Rollins N. HIV-infected adolescent mothers and their infants: low coverage of HIV services and high risk of HIV transmission in KwaZulu-Natal, South Africa. PLoS ONE[Internet]. 2013[cited 2017 Dec 12];8(9):e74568. Available from: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0074568 http://journals.plos.org/plosone/article... ⁾
	Absence of reproductive planning in the follow-up of women living with HIV	⁽ ¹³13 Spindola T, Dantas KTB, Cadavez NFV, Fonte VRF, Oliveira DC. Maternity perception by pregnant women living with HIV. Invest Educ Enferm [Internet]. 2015 [cited 2017 Dec 12];33(3): 440-8. Available from: http://www.scielo.org.co/pdf/iee/v33n3/v33n3a07.pdf http://www.scielo.org.co/pdf/iee/v33n3/v... ^- ¹⁴14 Marlow HM, Maman S, Groves AK, Moodley D. Fertility intent and contraceptive decision-making among HIV positive and negative antenatal clinic attendees in Durban, South Africa. Health Care Women Int [Internet]. 2012 [cited 2017 Dec 12];33(4):342-58. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083738/pdf/nihms593819.pdf https://www.ncbi.nlm.nih.gov/pmc/article... ^, ²⁰20 Teixeira SVB, Silva GS, Silva CS, Moura MAV. Women living with HIV: the decision to become pregnant. Rev Pesqui: Cuid Fundam [Internet]. 2013[cited 2017 Dec 8];5(1):3159-67. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/1869/pdf_672 http://www.seer.unirio.br/index.php/cuid... ^, ²⁵25 Van Dijk MG, Wilson KS, Silva M, Contreras X, Fukuda HD, García SG. Health Care Experiences of HIV-Infected Women With Fertility Desires in Mexico: a qualitative study. J Assoc Nurses AIDS Care. 2014;25(3):224-32. doi: 10.1016/j.jana.2013.04.006 https://doi.org/10.1016/j.jana.2013.04.0... ^, ⁴²42 Vaz MJR, Barros SMO. Gestantes infectadas pelo HIV: caracterização e diagnósticos de enfermagem. Acta Paul Enferm[Internet]. 2002[cited 2017 Dec 8];15(2):7-17. Available from: https://www.researchgate.net/publication/277298197_Gestantes_infectadas_pelo_HIV_-_caracterizacao_dos_diagnosticos_de_enfermagem https://www.researchgate.net/publication... ⁾
	Presence of reproductive planning in the follow-up of women living with HIV	⁽ ¹⁵15 Santos NJS, Buchalla CM, Fillipe EV, Bugamelli L, Garcia S, Paiva V. Reproduction and sexuality in HIV-positive women, Brazil. Rev Saúde Pública [Internet]. 2002 [cited 2017 Dec 12];36(4 Suppl):12-23. http://www.scielo.br/pdf/rsp/v36n4s0/11159.pdf http://www.scielo.br/pdf/rsp/v36n4s0/111... ^, ¹⁹19 Camillo SO, Silva LO, Cortes JM, Maiorino FT. [The desire to be a mother facing HIV/AIDS infection]. Rev Enferm Cent O Min[Internet]. 2015[cited 2017 Dec 12];5(1):1439-56. Available from: http://www.seer.ufsj.edu.br/index.php/recom/article/view/552/834 Portuguese http://www.seer.ufsj.edu.br/index.php/re... ^- ²⁰20 Teixeira SVB, Silva GS, Silva CS, Moura MAV. Women living with HIV: the decision to become pregnant. Rev Pesqui: Cuid Fundam [Internet]. 2013[cited 2017 Dec 8];5(1):3159-67. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/1869/pdf_672 http://www.seer.unirio.br/index.php/cuid... ^, ²²22 London L, Orner PJ, Myer L. 'even if you're positive, you still have rights because you are a person': human rights and the reproductive choice of HIV-positive persons. Dev World Bioeth. 2008 Apr;8(1):11-22. ^, ²⁵25 Van Dijk MG, Wilson KS, Silva M, Contreras X, Fukuda HD, García SG. Health Care Experiences of HIV-Infected Women With Fertility Desires in Mexico: a qualitative study. J Assoc Nurses AIDS Care. 2014;25(3):224-32. doi: 10.1016/j.jana.2013.04.006 https://doi.org/10.1016/j.jana.2013.04.0... ^, ³⁴34 Gogna ML, Pecheny MM, Ibarlucía I, Manzelli H, López SB. The reproductive needs and rights of people living with HIV in Argentina: Health service users' and providers' perspectives. Soc Sci Med. 2009 Sep;69(6):813-20. ⁾

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[1] Corresponding Author: Clarissa Bohrer da Silva E-mail: clabohrer@gmail.com