HIV positive mothers' beliefs about mother-to-child transmission

Neves, Lis Aparecida de Souza; Gir, Elucir

doi:10.1590/s0104-11692006000500021

Cited by 11 publications

(14 citation statements)

References 6 publications

(11 reference statements)

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“…The increased number of HIV infection cases associated with the category of heterosexual exposure has been accompanied by an increasing proportion of infected women: those of childbearing age. (9)(10)(11)(12)(13)(14) The data in this study correspond to findings in the literature (Table 1), showing alower level of school education among women. In Brazil, the majority of AIDS cases in women occur in those who are poorly educated and have less skilled occupations.…”

Section: Discussionsupporting

confidence: 89%

Transmissão vertical do HIV em população atendida no serviço de referência

2013

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Objective: To identify the rate of vertical transmission of HIV and assess the factors involved in maternal and fetal share. Methods: Cross-sectional study conducted in the Specialized Care Service. We investigated 102 clinical records of HIV positive women who had given birth to live newborns. The primary variable was the occurrence of vertical transmission of HIV and the secondary variables were the factors associated with vertical transmission of HIV. Results: Prevalence of 6.6% of vertical transmission. Among the infected children: 40.0% of mothers with out prenatal care and 75% without prophylaxis with antiretroviral drugs during the prenatal, 50.0% without AZT prophylaxis with oral and breast-fed. Among the uninfected children: 91.5% were started on prophylaxis with oral AZT at birth and 84.1% of mothers received ARV delivery. Conclusion: The occurrence of vertical transmission of HIV in the reference service corresponded to 6.6%, indicating a high prevalence. ResumoObjetivo: Identificar a taxa de transmissão vertical do HIV e avaliar os fatores envolvidos em partes materna fetal. Métodos: Estudo transversal realizado no Serviço de Atendimento Especializado. Foram investigados 102 prontuários de mulheres com HIV que deram à luz a recém-nascidos vivos. Resultados: A prevalência de 6,6% de transmissão vertical. Entre as crianças infectadas: 40,0% de mães sem pré-natal e 75% sem a profilaxia com anti-retrovirais durante o pré-natal, 50,0% sem profilaxia com AZT com oral e amamentado. Entre as crianças não infectadas: 91,5% iniciaram a profilaxia com AZT oral ao nascimento e 84,1% das mães receberam ARV. Conclusão: A ocorrência de transmissão vertical do HIV no serviço de referência correspondeu a 6,6%, o que indica uma alta prevalência.

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Section: Discussionsupporting

confidence: 89%

Transmissão vertical do HIV em população atendida no serviço de referência

2013

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“…The evaluation of preventive interventions during maternity care is important to ascertain if the recommended protocol is being effectively implemented 14 . Knowledge of the patients' sociodemographic characteristics enables more targeted interventions for the population at risk 15 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of preventive measures for mother-to-child transmission of HIV in Aracaju, State of Sergipe, Brazil

Lemos

Rocha

Conceição

et al. 2012

Rev. Soc. Bras. Med. Trop.

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Introduction:The main route of human immunodeficiency virus (HIV) infection in children is from mother to child. The preventive measures established for the Aids Clinical Trial Group protocol 076 (ACTG 076) significantly reduces HIV vertical transmission rates. This study aims to evaluate the implementation of the ACTG 076 protocol in the maternity units of State of Sergipe, Brazilian northeast. Methods: This is a descriptive, retrospective study with a quantitative approach, with HIV positive women and children exposed, attending a Maternity reference for high-risk pregnancies. Data were obtained from patient records registered in the years 1994 to 2010. Results: Amongst the 110 pregnant women and exposed newborns, the ACTG 076 protocol was fully utilized in only 31.8% of the participants. During the prenatal period, zidovudine (ZDV) was taken by 79.1% of the pregnant women. Only 49.1% of HIV seropositive patients used ZDV during delivery. Two (1.8%) children were considered infected and 50 (45.5%) do not have a conclusive diagnosis to date. Conclusions: There were significant deficiencies in the prevention of mother-to-child transmission of HIV, including lack of compliance with the three phases of the ACTG 076 protocol; inadequacies in prenatal care; inappropriate mode of delivery and lack of adequate follow up of exposed children.

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“…Because AIDS is a disease still associated with death, a way to survive with diagnoses of having HIV and coping with the disease is putting this condition on the background, not letting it take a great part in their lives (14) . Thinking excessively in AIDS was reported by interviews as a way to give in to the disease.…”

Section: -Denial and Underestimation Of Hivmentioning

confidence: 99%

“…Faith in the divine is a way of explaining the world, overcoming and standing the existence, associating it with hope. (14) The statement described below portraits this situation:…”

Section: -Religion and Hopementioning

confidence: 99%