Profilaxia da transmissão vertical do HIV: cuidado e adesão desvelados por casais

Abstract

Objective: to unveil the existential movement of a couple when performing vertical HIV transmission prophylaxis. Method: qualitative research, using Martin Heidegger's phenomenological approach. A phenomenological interview was conducted with 14 participants between December/2011 and February/2012 in the outpatient facilities of an university hospital, Brazil. A comprehensive and interpretative heideggerian analysis was developed. Results: the couple understands that they have followed the guidance of the health professionals as indicated. By not being able to breastfeed, the woman did not fail to be a mother, but it was also not a complete experience. The senses of the occupation of the couple-being unfolded to the prophylactic treatment and facticity due to the fact of not breastfeeding. Conclusion: we indicate the need to rethink care, proposing a working relationship that transcends the impersonal that dictates about what the couple must deal with, enabling their active participation in care decisions and actions. Key words: Vertical Transmission of Infectious Disease; Prenatal Care; Child Health; Nursing; Qualitative Research. RESUMO Objetivo: desvelar o movimento existencial do casal ao realizar a profi laxia da transmissão vertical do HIV. Método: investigação qualitativa, com abordagem fenomenológica de Martin Heidegger. Foi realizada entrevista fenomenológica com 14 participantes entre dezembro/2011 e fevereiro/2012 no ambulatório de um hospital universitário, Brasil. Foi desenvolvida análise compreensiva e interpretativa heideggeriana. Resultados: o casal compreende que seguiu a orientação dos profi ssionais de saúde conforme o que foi indicado. Ao não poder amamentar, a mulher não deixou de ser mãe, mas não foi uma vivência completa. Desvelaramse os sentidos da ocupação do ser-casal em realizar o tratamento profi lático e o da facticidade diante do fato de não amamentar. Conclusão: indica-se repensar o cuidado, propondo uma relação profi ssional que transcenda o impessoal que dita com o que o casal deve se ocupar, viabilizando sua participação de maneira ativa nas decisões e ações de cuidado. Descritores: Transmissão Vertical de Doença Infecciosa; Cuidado Pré-Natal; Saúde da Criança; Enfermagem; Pesquisa Qualitativa. RESUMENObjetivo: develar el movimiento existencial de la pareja al realizar la profi laxis de la transmisión vertical del HIV. Método: investigación cualitativa, con abordaje fenomenológico de Martin Heidegger. Fue realizada entrevista fenomenológica con 14 participantes entre diciembre/2011 y febrero/2012 en ambulatorio de hospital universitario brasileño. Se desarrolló análisis comprensivo e interpretativo heideggeriano. Resultados: la pareja comprende que siguió la indicación de los profesionales

Gestantes hiv positivas e os fatores de risco relacionados à transmissão vertical do hiv

“…This information becomes relevant because it is responsible for the choice of the way of delivery and which ARP therapy to adopt. 5 However, among the reported cases, most pregnant women had VL lower than one thousand copies/ml and TCD4 + lymphocyte count greater than 200 cells / mm 3 . This shows, once again, the importance of adherence to prophylactic measures, especially the use of ARP during prenatal care.…”

“…3 Early diagnosis is necessary in all pregnant women, allowing adequate antiretroviral therapy (ART), proper delivery planning, breastfeeding control, and the early initiation of antiretroviral prophylaxis (ARP) indicated for newborns. 4 In addition to the importance of reinforcing the actions recommended by the Ministry of Health (2010) to reduce HIV VT rates in the country, systematic monitoring of these indicators makes it possible to measure the effectiveness of interventions at a local level 5 .…”

Profile of infected pregnant women and children exposed to HIV at a specialized service in the South of Brazil

“…3,17,18 Nonetheless, a pregnant woman's social networking appears to be strengthened by the presence of a stable partner, since studies present a partner as a contributor of the adherence to recommend prophylaxis for vertical transmission. 19,20 In the clinical characterization, the data incompleteness was hardly prevalent, which can be attributed to the greater incidence of registrations in the women's consultations during pregnancy. Regarding to the evaluation of HIV prevention actions during prenatal care, apart from a high occurrence of data incompleteness, the notification in the third trimester of gestation prevailed, which may represent the loss of a moment to avoid vertical transmission, due to noncompliance with the recommendations about the anti-HIV testing that should be carried out in the first and third trimesters.…”

Prevalência De Quedas Em Idosos Institucionalizados

“…A proporção se inverteu desde então: em 2018, 61% engravidaram cientes do HIV e 31% foram diagnosticadas no pré-natal. A educação em saúde permite orientar a mulher a entender que a carga viral indetectável permite a gestação sem risco de TV (LANGENDORF et al, 2016).…”