Fertility Desire in Iranian Women with HIV: A Qualitative Study

Iran J Public Health. 2015 Aug;44(8):1126-34.

Abstract

Background: Childbearing is a cause of concern for women living with HIV. To improve reproductive right of women with HIV and prevent the spread of HIV; it is needed to understand fertility experiences of infected women with HIV. The aim of this study was to explore fertility intentions and experiences of HIV-infected women in Iran.

Methods: Totally, 15 in-depth interviews were conducted with HIV- infected women who were at reproductive age and had referred to Imam Khomeini Hospital Consultation Center for Clients with Risky Behaviors in Tehran, Iran. Data were analyzed using the conventional content analysis method in MAXQDA 10.

Results: Analysis of the meaning units of interviews showed themes in describing of fertility desires of HIV women as follows: 1) Motherhood as a way for stability of life; 2) Uncertainties about the future; and 3) Unpleasant experience of pregnancy and delivery. This theme has three sub-themes as stigma, discrimination and weakness in health care system.

Conclusion: Health care provider and community should respect the right of infected women and inform them on sexual and reproductive health.

Keywords: Desire; Fertility; HIV; Iran; Qualitative study.