title: [Impact of maternal HIV status on family constructions and the infant's relational environment during the perinatal period].
abstract: OBJECTIVE
  To assess whether maternal HIV-positive status negatively affects family construction and the child's psychological environment. Could this be responsible for behavioral problems observed in children infected with or affected by HIV?
  
  
  METHODS
  Interviews were conducted with 60 HIV+ mothers and their infants during the perinatal period, within 3 months of delivery, collected at the time of a pediatric outpatient visit within a PMTCT program.
  
  
  RESULTS
  Half of the 60 mothers did not live with the infant's father, 56% of multiparous mothers were separated from their previous children. Sixty-five percent of the fathers were informed of the mother's HIV-positive status, although 90% of fathers who lived with the mothers were informed. During pregnancy, 80% of mothers reported psychological stress; after delivery, 72% of mothers suffered from not being allowed to breastfeed their infants, 43.5% expressed a fear of transmitting the infection to the child, and 40% avoided contacts with the infant. The impact of the mother's psychological stress and anxiety related to the risk of HIV transmission through breastfeeding and casual contacts were already noticeable in the first mother-child interrelations.
  
  
  CONCLUSIONS
  Although the risk of MTC transmission in now very small, psychological troubles related to maternal HIV status may negatively affect the children's well-being and behavior, psychological support should be provided for mothers and children as part of comprehensive services.
authors.affiliation: Consultation d'hématologie pédiatrique, hôpital Trousseau, Paris, France. nadine.trocme@gmail.com
authors.forename: N
authors.initials: N
authors.lastname: Trocmé
authors.forename: M-F
authors.initials: MF
authors.lastname: Courcoux
authors.forename: M-D
authors.initials: MD
authors.lastname: Tabone
authors.forename: G
authors.initials: G
authors.lastname: Leverger
authors.forename: C
authors.initials: C
authors.lastname: Dollfus
mesh_terms: D000328:Adult; D000349:Africa; D001007:Anxiety / Q000523:psychology; D001942:Breast Feeding / Q000523:psychology*; D005191:Family Characteristics; D054541:Family Conflict / Q000523:psychology; D005260:Female; D005602:France / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology* / Q000635:transmission; D006801:Humans; D007223:Infant; D018730:Infant Behavior; D007231:Infant, Newborn; D008297:Male; D008425:Maternal Behavior / Q000523:psychology*; D008875:Middle Aged; D009034:Mother-Child Relations; D049590:Postpartum Period; D011247:Pregnancy; D012036:Refugees / Q000523:psychology* / Q000706:statistics & numerical data; D012307:Risk Factors; D012931:Social Environment; D012944:Social Support; D013315:Stress, Psychological; D011795:Surveys and Questionnaires