Feeding of children exposed to the human immunodeficiency virus at birth

Abstract

The aim was to characterize feeding aspects of children born exposed to the Human Immunodeficiency Virus. Cross-sectional study was developed at a referral hospital for infectious diseases in Fortaleza-Ceará, Brazil, between January and June 2010. The sample consisted of 62 mothers who provided information on 64 children born exposed to the virus. In the nursing consultation, the Assessment Scale of Care Skills for Children Exposed to Human Immunodeficiency Virus at Birth and forms for sociodemographic and dietary characterization were used. It was found that 57.8% of children had inappropriate intake of milk, 55.0% had inappropriate complementary feeding, 87.0% of mothers had a high capacity to offer milk powder and, in relation to complementary feeding, the ability ranged from moderate (45.7%) to high (48.5%). Thirteen nursing diagnoses showing feeding problems and deficits in care that require nursing interventions appropriate to the social context of each patient were identified.

Immediate Care To The Newborn Of Women With Human Immunodeficiency Virus: A Proposal Of Evaluation

“…Emphasizes, with it, the need for teams to explain women and families about care in the preparation of milk, in addition to direct the receipt of service formula. [20,21] It is believed that the graphic representation of actions to be undertaken to improve this process, since it allows easy viewing of the steps to be followed to reach the expected result.…”

Feeding of HIV-exposed children in a city in south of Brazil: family capability, clinical and social conditions

“…Gross understanding triggered inadequate care practices for these children, mainly related to the administration of medications and to the milk or complementary feeding. There is a recommendation that the particularities of families should be considered in order to guarantee the efficacy of the prevention of VT. 14,17 The caregivers (65.3%) performed the introduction of complementary feeding according to the professionals' orientation. Five of them reported that they had not received orientation, and therefore had initiated complementary feeding prematurely.…”

“…In many cases, caregivers see health services as the main source of support, whether instrumental, emotional or informative, due to the trust in the professionals and the possibility of interacting with other people who are in the same situation. 17 The professionals' support enables the motivation and the development of skills that positively impact the practices of infant feeding. 27 The assistance to child exposed to HIV in the specialized service should include specific aspects of the clinical condition, and the primary care service should contemplate the promotion of health and other habitual demands of childhood.…”

Vulnerabilidade programática para insegurança alimentar de crianças expostas ao HIV: revisão integrativa.

“…Apesar do leite materno ser o melhor alimento para uma criança, mulheres infectadas pelo HIV podem predispor seus filhos à vulnerabilidade da infecção 9 , visto que o aleitamento materno responde por 15 a 35% dos casos de transmissão vertical 1 e reduz o impacto positivo das intervenções de prevenção realizadas na gestação e no parto 7 . Para tal, a política brasileira que visa à eliminação da transmissão vertical do HIV, contraindica a prática do aleitamento materno ou aleitamento cruzado, e garante por meio da Lei 9313/96 o provimento gratuito da fórmula láctea infantil, pelo menos até o sexto mês de vida da criança 10 .…”