Women’s Reproductive Decision-Making Process and Providers’ Participation Donna B. Barnes, PhD California State University, Hayward [email protected] RESULTS. RESULTS. RESULTS. AIMS. Women’s Reproductive Decisions are Relational Influenced by Relationship to: CHILDREN
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Women’s Reproductive Decision-Making Process and Providers’ Participation
Donna B. Barnes, PhD
California State University, Hayward
Women’s Reproductive Decisions
Influenced by Relationship to:
“I didn’t have a chance with my other kids, I really thought that maybe this one would give me a chance no matter if it came to HIV or not” (Caucasian mother of 1 child).
“Before I found out that I was HIV positive, I was saying I’m not having no baby. I have a boy and a girl. He [fiancé] talked and we talked and I was like, all right. I really do want another baby. I guess he hoped that maybe I would have his son”
(African American mother of 3 children and youngest is HIV+).
“My mother and sister were asking, ‘Do you really think you can handle this?’ My sister was saying, ‘I’m the one who’s going to end up having to raise him.’ So like I said, I just put it in the hands of the Lord, and said, ‘Well, you’re going to have to keep me here because, as you can see, they don’t want him’”
(African American mother of 1 child).
PROVIDERS - INFORMATION
“It was like she [nurse practitioner] was really stressing the issue that I should have an abortion, that I should bring no baby into the world. And I was like, if it’s a 35% chance, I mean, that’s giving my baby at least a chance that it won’t be born with the virus” (African American mother of 3 children).
“The physician told me that there are people who have had planned pregnancy, that were HIV positive. So that’s why I know he’s somebody I can talk to” (Caucasian mother of one child).
ONE OF FEW STABLE RELATIONSHIPS
“A lot of these patients, they don’t have nobody. The only person they have sometimes is the HIV case manager. Because a lotta these patients, they haven’t told their families, nobody knows, it’s you, the one that they come to for practically for everything”
(Latina case manager).
“I’m trying to stay as non-judgmental as possible, but what frustrates me the most is when you do things to get medications for a client, to get a client to another service, or try and help this client get some degree of quality into their lives and then not to have them participate on a full level, to even be aware of what kind of work has gone on behind the scenes”
(African American female nurse).
“I got more supportive of women having pregnancies and it was spurred on by more and more women coming to me to talk about it. And realizing that they had very little opportunities to even raise the question. And they often raised it with me and got coached to then raise it with their physicians”
(Caucasian female medical social worker).
“As a clinician, I offer, I can educate, but the decision rests totally with the patient” (African American male physician).
WOMEN MAKE THEIR OWN CHOICES
“I have become more resigned to the fact that people need to and do make their own choices and I don’t own that”
(Caucasian female nurse practitioner).
Women = 35
Providers = 46
Sheigla Murphy, PhD - Susan Taylor-Brown, PhD - Diane Beeson, PhD
Beatrice Morris, MDiv - Monica Bill Barnes, MFA - Lyn Blackburn, MSW
Craig Sellers, MS - Tim Smith, BS
The Women and the Providers
This research is funded by:
National Institute of Health - Grant 3 S06 GM/A14135-04S1
University of Illinois at Chicago Fellowship, Center for Research on Women and Gender - Funded by John D. and Catherine T. MacArthur Foundation
California State University, Hayward - Research Grant