Mulheres soropositivas para o HIV e seus companheiros frente à decisão pela gestação

Abstract

The purpose of this qualitative, descriptive exploratory study is to investigate the reasons why HIV seropositive women and their partners make the decision of becoming pregnant despite the risk of vertical transmission, contamination or reinfection of the partner. The subjects of this study were six pregnant women. Data collection was done through a semi-structured questionnaire which was organized in the NVIVO 2.0 software and interpreted through theme-based content analysis. Through this analysis three themes emerged: Pregnancy planning; Knowledge of HIV/AIDS transmission and treatment; Living in the context of HIV/AIDS. The relevance of this study resides on the fact that the desire of the couple in becoming parents remains, despite of the awareness regarding the risks of vertical transmission and contamination.

Representações Sociais De Mulheres Que Vivem Com O Vírus Da Imunodeficiência Humana E Desejam Engravidar

“…Although the use of antiretroviral drugs significantly reduces the risk of infection, providing some tranquility for the pregnant woman, there is still a negative feeling that these medications may have potential adverse effects on the pregnant woman and the fetus.When the diagnosis is received during pregnancy, the gestational process tends to be an experience based on distress, bringing tension and insecurity, both in relation to HIV transmission, and regarding the use of medications. [13][14] Regarding the impossibility of breastfeeding, in this study, the woman who experienced pregnancy and breastfeeding before the diagnosis of HIV reported an ambiguity of feelings due to the possibility of a new pregnancy and the sad task of not breastfeeding her future children. The experience of breastfeeding represents a milestone for the woman in motherhood.…”

“…The possibility of motherhood strengthens a woman's self-esteem, as the miracle of life, the greatest expression of existence, challenges the mystery of illness and her own body. 13 It was evidenced that one of the other motivations that supports the desire to become pregnant after the HIV diagnosis is the knowledge of the prophylactic measures of the maternal-fetal transmission. A study showed that the mechanisms to prevent mother-to-child transmission light up women's expectations of having a healthy child, as the treatment can reduce the risk of transmitting the HIV virus to the baby by 2% or less.…”

Sorodiscordância na atenção às pessoas com HIV/AIDS: implicações para o enfermeiro Serodiscordance in care for people with HIV/AIDS: implications for nurses

“…However, after the adjustment process, the couple deals with interests and negotiations on sex and the risks of contamination by HIV. [10][11] Male and female condoms are the only ways to prevent infection with HIV, and may reduce the risk of contamination by up to 95% if used correctly. There are other forms of prevention, such as sexual abstinence, the rhythm method, and withdrawal, not exempting contamination.…”

“…The alternative to solve this problem because HIV infection does not prevent the desire to have children can get pregnant in the best phase of the disease, in which the transmission possibility of the risk is less, wherein viral load is reduced. [11][12] In a relationship between serodiscordant, sexual life can be seen as dangerous, decreasing satisfaction and pleasure during intercourse. Fear of infecting the other can result in an emotional withdrawal in sexual abstinence, which may be permanent or occasional since the relationship between discordant couples permeates difficulties and concerns.…”

Perfil de gestantes em tratamento para a infecção pelo vírus da imunodeficiência humana

“…11,12 Desta forma o fato da maioria das gestantes já terem conhecimento da infecção pelo HIV previamente a esta gestação, não é inesperado.…”