{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:12:34Z","timestamp":1790838754526,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T00:00:00Z","timestamp":1579737600000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore how being infected with the Zika virus during pregnancy was experienced by affected women, and how it influenced their family relationships and future family planning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a qualitative study, including 19 semistructured interviews with women of reproductive age and confirmed Zika infection during 2015\u20132018 in Medellin, Colombia. Purposeful sampling was applied, and participants were identified through National Public Health Surveillance System records. Interviews were recorded, transcribed verbatim, and analyzed using content analysis with inductive and deductive approaches.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 19 women interviewed, eight women identified the pregnancy as unexpected and two women had undergone permanent sterilization. Women had mixed views about decision\u2010making related to family planning, and not having an abortion in a future pregnancy was influenced by religious beliefs. Women knew about vector\u2010borne transmission but were not well informed about sexual transmission of the virus. Women desired better support and guidance to ease concerns about Zika virus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>All interviewed women expressed a need for more information about Zika virus and continuous support, specifically after delivery, from healthcare professionals. Communication strategies to enhance culturally sensitive messages and for accurate perception of information are recommended during Zika outbreaks.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13046","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T07:01:56Z","timestamp":1579849316000},"page":"36-44","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Women's reluctance for pregnancy: Experiences and perceptions of Zika virus in Medellin, Colombia"],"prefix":"10.1002","volume":"148","author":[{"given":"Veronika","family":"Tirado","sequence":"first","affiliation":[{"name":"Department of Global Public Health Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago A.","family":"Morales Mesa","sequence":"additional","affiliation":[{"name":"Faculty of Psychology Institute of Health Sciences (CES University), University  Medell\u00edn Colombia"},{"name":"Faculty of Law and Political Sciences Catholic University Luis Amig\u00f3  Medell\u00edn Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kinsman","sequence":"additional","affiliation":[{"name":"Department of Global Public Health Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Epidemiology and Global Health Ume\u00e5 University  Ume\u00e5 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Mia","family":"Ekstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Global Public Health Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Infectious Diseases Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berta N.","family":"Restrepo Jaramillo","sequence":"additional","affiliation":[{"name":"Department of Virology Colombian Institute of Tropical Medicine \u2013 Institute of Health Sciences (CES University)  Medell\u00edn Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6502e1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001378"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2017.00581"},{"key":"e_1_2_8_5_1","unstructured":"Centers for Disease Control and Prevention.Zika and pregnancy. Congenital Zika Syndrome and Other Birth Defects[website].2019.https\u200b:\/\/www.cdc.gov\/pregn\u200bancy\/zika\/testi\u200bng-follow-up\/zika-syndr\u200bome-birth-defec\u200bts.html. Accessed May 31 2019."},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1604037"},{"key":"e_1_2_8_7_1","unstructured":"Center for Reproductive Rights.Unheard voices. Women's experiences with Zika in Colombia.New York NY:Center for Reproductive Rights;2018.https\u200b:\/\/www.repro\u200bducti\u200bverig\u200bhts.org\/sites\/\u200bcrr.civic\u200bactio\u200bns.net\/files\/\u200bdocum\u200bents\/CRR-Zika-Colom\u200bbia.pdf. Accessed May 31 2019."},{"key":"e_1_2_8_8_1","unstructured":"Pan American Health Organization World Health Organization.Zika\u2010Epidemiological Report. Colombia.2017.https\u200b:\/\/www.paho.org\/hq\/dmdoc\u200bument\u200bs\/2017\/2017-phe-zika-situa\u200btion-report-col.pdf. Accessed May 31 2019."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2018.02.010"},{"key":"e_1_2_8_10_1","unstructured":"Public Health Surveillance.Dengue Zika virus and chikungunya in Colombia[website] [in Spanish].http:\/\/temas.sld.cu\/vigil\u200bancia\u200bensal\u200bud\/2018\/07\/10\/dengue-virus-del-zika-y-chiku\u200bngunya-en-colom\u200bbia-2\/. Accessed May 31 2019."},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00072-15"},{"key":"e_1_2_8_12_1","unstructured":"Save the Children. Community Action on Zika (CAZ) project.2017.https\u200b:\/\/savet\u200bhechi\u200bldren-zika.org\/count\u200bries\/colombia. Accessed October 29 2019."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6528e2"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0190024"},{"key":"e_1_2_8_15_1","unstructured":"Ministry of Health and Social Protection.Provisional guidelines for the clinical approach of pregnant women exposed to Zika virus in Colombia[in Spanish].https\u200b:\/\/www.minsa\u200blud.gov.co\/sites\/\u200brid\/Lists\/\u200bBibli\u200boteca\u200bDigit\u200bal\/RIDE\/VS\/PP\/ET\/linea\u200bmient\u200bos-provi\u200bonales-abord\u200baje-clini\u200bco-gesta\u200bntes-expue\u200bstas-zika-colom\u200bbia.pdf. Accessed May 31 2019."},{"key":"e_1_2_8_16_1","unstructured":"Human Rights Watch.Neglected and Unprotected. The Impact of the Zika Outbreak on Women and Girls in Northeastern Brazil[website].2017.https\u200b:\/\/www.hrw.org\/repor\u200bt\/2017\/07\/12\/negle\u200bcted-and-unpro\u200btecte\u200bd\/impact-zika-outbr\u200beak-women-and-girls-north\u200beaste\u200brn-brazil. Accessed May 31 2019."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-017-0285-6"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2015.12.002"},{"key":"e_1_2_8_20_1","unstructured":"Mayor of Medellin.Technical support document POT Municipality of Medellin. Medellin and its population[in Spanish].https:\/\/www.medellin.gov.co\/irj\/go\/km\/docs\/wpccontent\/Sites\/Subportal%20del%20Ciudadano\/Plan%20de%20Desarrollo\/Secciones\/Informaci\u00f3n%20General\/Documentos\/POT\/medellinPoblacion.pdf. Accessed May 31 2019."},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006708"},{"key":"e_1_2_8_22_1","first-page":"3","article-title":"What explains the lacklustre response to Zika in Brazil? Exploring institutional, economic and health system context","volume":"19","author":"G\u00f3mez EJ","year":"2018","journal-title":"BMJ Glob Health"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2038G"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.01.004"},{"key":"e_1_2_8_25_1","first-page":"e140","article-title":"Sexual and reproductive rights regarding contraception in a human rights framework in Bolivia, Colombia, and Uruguay","volume":"41","author":"Cordova\u2010Pozo KL","year":"2017","journal-title":"Rev Panam Salud Publica"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.13046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13046","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T23:11:44Z","timestamp":1694128304000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":24,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1002\/ijgo.13046"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13046","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2020-01-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}