Prevalência da infecção por HIV em parturientes de maternidades vinculadas ao SUS

Lemos, Lígia Mara Dolce de; Gurgel, Ricardo Queiróz; Fabbro, Amaury Lélis Dal

doi:10.1590/s0100-72032005000100007

Cited by 21 publications

(30 citation statements)

References 14 publications

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“…17 Studies in other states in Brazil and in Vitória report rates from 0.42% to 0.50% 6,8,12,15 Nonetheless, prevalence in the current study is less than the 0.6% found in public maternity hospitals of Vitória by Miranda et al 13 The difference may be to the fact that these maternities attend pregnant women from other municipalities in the state.…”

Section: Discussioncontrasting

confidence: 62%

Prevalência de HIV em gestantes e transmissão vertical segundo perfil socioeconômico, Vitória, ES

Vieira

Miranda²,

Vargas³

et al. 2011

Rev. Saúde Pública

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OBJECTIVE:To describe HIV prevalence in pregnant women and the rate of vertical transmission according to socioeconomic status of residential neighborhoods. METHODS:Ecological exploratory study, which used the Information System of Notifi able Diseases database on HIV-positive pregnant women and AIDS in children, reported from 2000 to 2006, in Vitória, Southeastern Brazil. For analysis of socioeconomic data the Urban Quality Index was utilized The HIV prevalence rate in pregnant women and vertical transmission rate were calculated. Spatial distribution was carried out by Terraview 3.2.0. To verify the association between urban quality and HIV prevalence in pregnant women, Poisson regression was used. RESULTS:A total of 137 HIV-positive women and 14 children infected by vertical transmission was reported. Seven children matched to HIV-positive mothers without notifi cation in the period analyzed. HIV prevalence among pregnant women in the period was 0.44%, and the vertical transmission rate was 9.7%. CONCLUSIONS:The prevalence of HIV infection among pregnant women and vertical transmission were associated with the urban quality of residential neighborhood. Neighborhoods with lower urban quality should be prioritized in actions to reduce vertical transmission.

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Section: Discussioncontrasting

confidence: 62%

Prevalência de HIV em gestantes e transmissão vertical segundo perfil socioeconômico, Vitória, ES

Vieira

Miranda²,

Vargas³

et al. 2011

Rev. Saúde Pública

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“…35 Heterosexual transmission of HIV increased the number of infected women throughout the world, including in Brazil, thus raising the number of cases of children with AIDS due to perinatal and transplacental transmission. 23,36,37 The rate of vertical transmission of HIV, with no intervention, is about 25%. However, several studies have demonstrated a drop in transmission to 0% to 2% and a signifi cant reduction in the incidence of cases of AIDS in children, as a result of preventive measures such as the use of combined anti-retroviral agents, elective C-sections, the use of chemoprophylaxis with AZT in the perinatal period and restricting breastfeeding in the newborn.…”

Section: Discussionmentioning

confidence: 99%

Seropositivity rates for toxoplasmosis, rubella, syphilis, cytomegalovirus, hepatitis and HIV among pregnant women receiving care at a public health service, São Paulo state, Brazil

Gonçalves¹,

Mattos²,

Spegiorin³

et al. 2010

Braz J Infect Dis

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Infectious and parasitic diseases affecting women during their reproductive age may result in vertical transmission. The aim of this study was to determine the seroprevalence for TORSCH among pregnant women receiving care at a university hospital. Records of 574 pregnant women who received medical attention from January 2006 to December 2007 were assessed. The mean age was 27.2 ± 6.5 years ranging from 13 to 44. The results of the immunodiagnostic tests were: 62.0% (345/556) for IgG and 3.4% (19/556) for IgM anti-T. gondii; 93.1% (433/465) for IgG and 0.6% (3/465) for IgM anti-rubella; 0.9% (5/561) for VDRL; 1.8% (10/554) for HBsAg; 0.7% (4/545) for anti-HCV and 2.1% (11/531) for HIV. In conclusion, the results of immunodiagnostic tests for the TORSCH panel among pregnant women attending a perinatal service of a university hospital are in agreement with those reported by previous studies and by governmental sources

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“…No entanto, há ainda muitas carências no sistema de saúde brasileiro em realizar exames anti-HIV no pré-natal (Serruya & cols., 2004) e, muitas mães ainda não fazem esse exame e/ou qualquer acompanhamento pré-natal (Szwarcwald & Souza Jr., 2006). Entre parturientes, a prevalência do HIV/ Aids tem se situado em torno de 0,4%, sendo que mais da metade delas desconhece o diagnóstico no momento do parto (Lemos, Gurgel & Dal Fabbro, 2005).…”

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Experiência da maternidade no contexto do HIV/Aids aos três meses de vida do bebê

Gonçalves

Piccinini

2008

Psic.: Teor. e Pesq.

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RESUMO -O estudo investigou a experiência da maternidade em portadoras do HIV/Aids aos três meses de vida do filho/a. Participaram seis mães (19 a 30 anos), de nível sócio-econômico baixo, três das quais já eram portadoras da doença quando engravidaram, enquanto as demais souberam no parto. As mães foram entrevistadas e suas respostas foram examinadas por meio de uma análise de conteúdo qualitativa baseada em quatro eixos teóricos: vida-crescimento, relacionar-se primário, matriz de apoio e reorganização da identidade. Os resultados mostraram que as mães tinham muitas preocupações com a possibilidade de infecção do filho/a e com a saúde do bebê, além de sentimentos de incerteza quanto ao futuro, culpa e medo do preconceito. Esses temores pareciam mais intensos para as mães que tiveram seu diagnóstico no parto. O estigma do HIV/ Aids, conflitos familiares, dificuldades com o diagnóstico e o tratamento, além de restrições sócio-econômicas e em sua rede de apoio exigiam grande esforço emocional dessas mulheres, sugerindo a necessidade de intervenções psicossociais visando à adesão ao tratamento, à qualidade de vida e ao desenvolvimento do bebê. Palavras-chave:HIV/Aids; maternidade; família. Motherhood Experience in the Context of HIV/Aids in the Third-Month-BabyABSTRACT -This study investigated motherhood experience in HIV-positive women on the third-month-baby. Six mothers, aged from19 to 30, from low socioeconomic level took part in this study. Three of these mothers got pregnant knowing that they were infected, while the others were informed during or soon after delivery. The mothers were interviewed and their accounts were examined by means of a qualitative content analysis based on four themes: life-growth, primary relatedness, support matrix, and identity reorganization. The results showed that mothers were worried about having infected their babies and about his/her health. They reported also uncertainty feelings concerning to the future, guilt, and fear of discrimination. These fears seemed more intense for the three mothers who had their diagnosis during or soon after delivery. Issues such as HIV/Aids-related stigma, family conflicts, difficulties in assimilating the diagnosis and the treatment, socioeconomic difficulties and lack of support required large emotional strength from these women. The need for psychological support and psychosocial intervention with these mothers is discussed. This could contribute for their treatment adherence, their quality of life, and the development of their children.

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Prevalência da infecção por HIV em parturientes de maternidades vinculadas ao SUS

Cited by 21 publications

References 14 publications

Prevalência de HIV em gestantes e transmissão vertical segundo perfil socioeconômico, Vitória, ES

Prevalência de HIV em gestantes e transmissão vertical segundo perfil socioeconômico, Vitória, ES

Seropositivity rates for toxoplasmosis, rubella, syphilis, cytomegalovirus, hepatitis and HIV among pregnant women receiving care at a public health service, São Paulo state, Brazil

Experiência da maternidade no contexto do HIV/Aids aos três meses de vida do bebê

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