The Pregnancy Experience Among Women With HIV: A Literature Review

Lellyawaty Lellyawaty


The 2018 UNAIDS data showed that 36.9 million people live with HIV. Of these, 4,400 cases found among adults (> 15 years old) and nearly 43% were women. In Sub-Saharan Africa, it was estimated that 24% of maternal deaths during prenatal or postnatal care were associated with HIV. Therefore, clinical attention is highly required during pregnancy and after delivery, particularly for those who are infected or at greater risk of HIV. This study aimed to determine pregnancy experience among women with HIV. PubMed and Proquest were used to search relevant articles from 2015-2018 by typing the keywords: "pregnant HIV" OR "pregnancy HIV" OR "HIV pregnancy" OR "HIV pregnancy" AND experience. The inclusion and exclusion criteria was determined through: Population, Exposure, Outcome and Study Design (PEOS) framework, PRISMA flow diagram, data extraction and CASP, and mapping the findings. Of 378 selected articles, 7 articles were found to be relevant with the study objective. Using qualitative designs, the articles discussed the disclosure of HIV status that remained hidden. This was due to lack of courage, high level of violence, negative stigma in community and lack of support from health practitioners in providing information about HIV during pregnancy. Support from family and peers can prevent HIV transmission from pregnant women to their fetus. Pregnant women with HIV can still expect that their pregnancy will be healthy and no HIV transmission to their newborn. Disclosure of HIV status remains be fear and concern. However, positive support from family, community and health practitioners can motivate pregnant women with HIV to improve their health.


HIV; HIV pregnancy; HIV experience

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Data UNAIDS 2018 [Internet]. [Cited 2019 Jan 11]. Available from:

Zaba B, C Calvert, Marston M, Isingo R, Nakiyingi-Miiro J, Lutalo T, et al. Effect of HIV infection on pregnancy-related mortality in sub-Saharan Africa: secondary analyzes of pooled community-based data from the network for Analyzing Longitudinal Population-based HIV / AIDS Data on Africa (ALPHA). The Lancet [Internet]. 2013 May 18 [cited 2018 Dec 17]; 381 (9879): 1763-71. Available from:

Drake AL, Wagner A, B Richardson, John-Stewart G. Incident HIV during pregnancy and postpartum and risk of mother-to-child HIV transmission: a systematic review and meta-analysis. PLoS Med. 2014 February; 11 (2): e1001608.

Miles to go-closing gaps, breaking barriers, righting injustices [Internet]. [Cited 2018 November 4]. Available from:

Abuogi LL, JM Humphrey, Mpody C, Yotebieng M, Murnane PM, Clouse K, et al. Achieving UNAIDS 90-90-90 targets for pregnant and postpartum women in sub-Saharan Africa: progress, gaps and research needs. A Virus ERAD [Internet]. 2018 Nov 15 [cited 2018 Dec 17]; 4 (Suppl 2): 33-9. Available from:

VTG Matos de Batista F de M, Versage NV, Pinto CS, VM de Oliveira, EF de Vasconcelos-Pereira et al. High vertical HIV transmission rate in the Midwest region of Brazil. Braz J Infect Dis Off Publ Braz Soc Infect Dis. 2018 June; 22 (3): 177-85.

Carlsson-Lalloo E, Rusner M, Mellgren Å, Berg M. Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis. AIDS Patient Care STDs. 2016 February; 30 (2): 56-69.

Casp. CASP checklists [Internet]. CASP - Critical Appraisal Skills Program. [Cited 2019 Jan 11]. Available from:

Buregyeya E, Naigino R, Mukose A, Makumbi F, Esiru G, Arinaitwe J, et al. Facilitators and barriers to uptake and adherence to lifelong antiretroviral therapy among HIV-infected pregnant women in Uganda: a qualitative study. BMC Pregnancy Childbirth. 2017 21; 17 (1): 94.

Fords GM, Crowley T, van der Merwe US. The lived experiences of rural women Diagnosed with the human immunodeficiency virus inthe antenatal period. SAHARA JJ Res Soc Asp HIVAIDS Alliance. 2017; 14 (1): 85-92.

Ashaba S, Kaida A, Coleman JN, Burns BF, Dunkley E, O'Neil K, et al. Psychosocial challenges facing women living with HIV during the perinatal period in rural Uganda. PLoS One. 2017; 12 (5): e0176256.

McLean E, Renju J, Wamoyi J, Bukenya D, Ddaaki W, Church K, et al. "I wanted to safeguard the baby": a qualitative study to understand the experiences of Option B + for pregnant women and the potential implications for "test-and-treat" in four sub-Saharan African settings. Sex Transm Infect. 2017; 93 (Suppl 3).

McLeish J, Redshaw M. "We have beaten HIV a bit": a qualitative study of experiences of peer support during pregnancy with an HIV project in Mentor Mother England. BMJ Open. 2016 20; 6 (6): e011499.

Cuinhane CE, ROELENS K, Vanroelen C, Quive S, Coene G. Perceptions and decision-making with regard to pregnancy among HIV-positive women in rural Maputo Province, Mozambique - a qualitative study. BMC Womens Health. 2018 Oct 11; 18 (1): 166.

Fletcher F, LA Ingram, Kerr J, Buchberg M, Richter DL, R. Sowell "Out of All of this mess, I Got a Blessing": Perceptions and Experiences of Reproduction and Motherhood in African American Women Living With HIV. J Assoc Nurses AIDS Care JANAC. 2016 Aug; 27 (4): 381-91.

Brittain K, Mellins CA, Remien RH, Phillips T, Zerbe A, Abrams EJ, et al. Patterns and Predictors of HIV Status Disclosure Among Pregnant Women in South Africa: Dimensions of Disclosure and Influence of Social and Economic Circumstances. AIDS Behav. 2018 Dec; 22 (12): 3933-44.

Hallberg D, Kimario TD, Mtuya C, Msuya M, Björling G. Factors affecting HIV disclosure among partners in Morongo, Tanzania. Int J Nurs Sci Afr [Internet]. 2019 Jan. 1 [cited 2019 Jun 24]; 10: 49-54. Available from:

Knettel BA, minja L, Chumba LN, Oshosen M, Cichowitz C, Mmbaga BT, et al. Serostatus disclosure among a cohort of HIV-infected pregnant women enrolled in HIV care in Moshi, Tanzania: A mixed-methods study. SSM - Health popul [Internet]. 1 April 2019 [cited 2018 Dec 16]; 7: 100 323. Available from:

Kennedy CE, Haberlen S, Amin A, Baggaley R, Narasimhan M. Safer disclosure of HIV serostatus for women living with HIV who experience fear or violence: a systematic review. J Int AIDS Soc. 2015; 18 (Suppl 5): 20292.

Phiri S, Tweya H, van Lettow M, Rosenberg NE, Trapence C, Kapito-Tembo A, et al. Impact of Facility- and Community-Based Peer Support Models on Maternal uptake and retention in Malawi's Option B + HIV Prevention of Mother-to-Child Transmission Program: A 3-Arm Cluster Randomized Controlled Trial (PURE Malawi). J Acquir Immune Defic Syndr 01 1999. 2017; 75 Suppl 2: S140-8.

Orne-Gliemann J, Font H, T Maphosa, Kangwende A, Rusakaniko S, Magezi V, et al. Patterns of Attendance at Mother Support Groups in Zimbabwe. The EPAZ Trial (2014-2016). J Acquir Immune Defic Syndr 01 1999. 2017; 75 Suppl 2: S216-23.

Vrazo AC, Firth J, Amzel A, Sedillo R, Ryan J, Phelps BR. Interventions to Significantly improve serviceuptake and retention of HIV-positive pregnant women and HIV-exposed infants along the prevention of mother-to-child transmission continuum of care: systematic review. Trop Med Int Health TM IH. 2018; 23 (2): 136-48.

Sahlu I, Howe CJ, Clark MA, Marshall BDL. HIV status, knowledge of mother-to-child transmission of HIV and antenatal care use among Ethiopian women. J Epidemiol Glob Health [Internet]. 2014 September 1 [cited 2018 Dec 17]; 4 (3): 177-84. Available from:

Nasution SS, Erniyati E. The Role of Community Intervention for Improving Health Status of Pregnant Women Suffering HIV-AIDS in Medan. Open Access maced J Med Sci [Internet]. A 24 Sep 2018 [cited 2018 Oct 27]; 6 (9): 1768-72. Available from:

Kendall T, Danel I, Cooper D, Dilmitis S, Kaida A, Kourtis AP, et al. Eliminating preventable HIV-Related Maternal Mortality in Sub-Saharan Africa: What Do We Need to Know? J Acquir Immune Defic Syndr 1999 [Internet]. 1 Dec 2014 [cited 2018 Dec 16]; 67 (Suppl 4): S250-8. Available from:

Omonaiye O, Kusljic S, Nicholson P, Mohebbi M, Manias E. Post Option B + implementation program in Nigeria: Determinants of adherence of antiretroviral therapy among pregnant women with HIV. Int J Infect Dis [Internet]. 1 April 2019 [cited 2019 Jun 24]; 81: 225-30.Available from:

Peltzer K, Babayigit S, Rodriguez VJ, Jean J, Sifunda S, Jones DL. Effect of a multicomponent behavioral PMTCT cluster randomized controlled trial on HIV stigma reduction among perinatally HIV-positive women in Mpumalanga province, South Africa. SAHARA JJ Res Soc Asp HIVAIDS Alliance [Internet]. 2018 Aug 22 [cited 2018 Dec 17]; 15 (1): 80-8. Available from:

Farley JE, MJ Hayat, Murphy J, Sheridan-Malone E, Anderson J, Mark H. Knowledge, Attitudes, and Practices of OB / GYN Nurses and Auxiliary Staff in the Care of Pregnant Women Living With HIV. J Assoc Nurses AIDS Care [Internet]. 1 March 2014 [cited 2019 Apr 12]; 25 (2): 158-67. Available from:

CM Meade, Hackett S, Mehta CC, LB Haddad, Camacho-Gonzalez A, Ford J, et al. HIV Care Continuum among Postpartum Women Living with HIV in Atlanta. Cu-Uvin S, editor. Infect Dis Obstet Gynecol NY [Internet]. 2019 [cited 2019 Jun 24]; 2019. Available from:

Bokharaei-Salim F, Kalantari S, Gholamypour Z, Najafi A, Keyvani H, Esghaei M, et al. Investigation of the effects of a prevention of mother-to-child HIV transmission among Iranian program neonates. Arch Virol. 2018 May; 163 (5): 1179-85.



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