Document 0206
 DOCN  M9550206
 TI    Policy, ethics, and reproductive choice: pregnancy and childbearing
       among HIV-infected women.
 DT    9505
 AU    Kass NE; Department of Health Policy and Management, Johns Hopkins
       School; of Public Health, Baltimore, MD 21205.
 SO    Acta Paediatr Suppl. 1994 Aug;400:95-8. Unique Identifier : AIDSLINE
       MED/95135030
 AB    As the numbers of women infected with HIV continue to increase, there
       are more calls for women who are HIV-infected not to have children, or
       for policies to be created that limit or try to influence the
       reproductive choices of HIV-infected women. Although motivated by
       legitimate concerns, such potential policies may be problematic in terms
       of their threats to the autonomy of women and considerations of justice.
       An alternative counseling approach is proposed that advocates
       encouraging HIV-infected women to make reasoned and considered decisions
       concerning childbearing. Such an approach would require providers to
       discuss with women not only the medical facts relevant to vertical
       transmission, but also many of the psychosocial issues relevant to the
       woman's interest in bearing a child. Moreover, the encounter would be
       contextualized to include discussion of issues unique to the woman's
       situation and other family considerations.
 DE    *Counseling  *Decision Making  Disease Transmission, Vertical  *Ethics,
       Medical  *Family Planning  Female  Human  HIV Infections/PREVENTION &
       CONTROL/*TRANSMISSION  Pregnancy  Pregnancy Complications,
       Infectious/*VIROLOGY  *Public Policy  United States  JOURNAL ARTICLE
       REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).