Perception of the nursing team on pregnancy concerning infection caused by HIV

Caldas, Marcela Araújo Galdino; Porangaba, Shyrllene Correia Ferreira; Melo, Elizabete Santos; Gir, Elucir; Reis, Renata Karina

doi:10.15253/2175-6783.2015000100005

Cited by 5 publications

(7 citation statements)

References 14 publications

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“…It is clear that women with HIV/AIDS are reluctant to talk about sexuality and their reproductive desire for fear of a negative reaction on the part of health professionals. These professional oftentimes consider the wish to have children as an act of irresponsibility and lack of information on the risks of HIV vertical transmission (24) . This is a disturbing finding, because limited knowledge may hamper the wish and the rights of women with HIV/AIDS to have children, thus increasing the risk of unplanned pregnancy and newborn exposure to the virus (9) .…”

Section: Discussionmentioning

confidence: 99%

Reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome

Lima

Cunha

et al. 2017

Rev. esc. enferm. USP

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Objective:To analyze the reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome (AIDS). Method: Crosssectional and descriptive study carried out from January to December, 2015, in the outpatient care of infectious disease unit in a hospital located in Fortaleza, Ceará. Data were collected through a form applied by interview in a private setting. Results: 102 women participated in the study. Most were aware that they were serologically positive with human immunodeficiency virus (HIV) during prenatal care (96.1%) and did not intend to have more children (63.7%). Women who were less than 39 years of age, had a higher educational level, and a shorter time of antiretroviral therapy had better chances of having children (p≤0.05). Having a steady partner increased the chance of desiring to have children, while tubal ligation was higher among women that did not receive counseling on family planning. Knowledge of family planning was limited because of lack of assistance provided by health professionals. DESCRIPTORS INTRODUCTIONThere are 36.7 million people around the world living with acquired immunodeficiency syndrome (HIV), and the number of infected women represents more than half of this population (1) . Access to antiretroviral therapy (ART) has been significantly expanded, providing improvement in the quality of life and an increase in survival rates for people with HIV and Acquired Immunodeficiency Syndrome (AIDS), and raised challenges aimed at guaranteeing total health for these individuals (1)(2) . In this regard, a decrease in morbimortality and an increase in the number of women of reproductive age with HIV/AIDS have been seen, which led to broadening the discussion on family planning (2)(3) , with the aim of maintaining the health of women, safeguarding reproductive rights, avoiding unintended pregnancy and maternal death, and preventing virus spread and vertical transmission (4) . Brazil is renowned for having a national program for HIV/AIDS that guarantees antiretroviral drugs free of charge and sustainably for everyone with HIV/AIDS, including pregnant women, in addition to offering quick testing and serology for detecting HIV in pregnant women (5) . Despite these achievements, there are social inequalities among the regions of Brazil related to virus detection rate in this population. In the Northeast region, detection rates for HIV are the lowest, and pregnant women have the poorest education and hence are the most affected in the country (6) . As a consequence, there is a lack of information about the factors that affect the wish to have children among these women, as well as the use of contraceptive methods, in this Brazilian region.Evidence suggests that, despite the possibility of women with HIV/AIDS having a healthy and reasonable sexual and reproductive life, there are challenges related to access to sexual and reproductive rights and health services, including the provision of contraceptive methods (7) . Furthermore, barriers such as la...

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Section: Discussionmentioning

confidence: 99%

Reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome

Lima

Cunha

et al. 2017

Rev. esc. enferm. USP

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“…[9][10][11] For this, it is necessary to improve the attendance of seropositive pregnant women in the consultations, since this population has presented a lower frequency in prenatal consultations in relation to pregnant women without this type of infection, besides there is a high index of pregnant women who do not attend. [10,[13][14][15] It is known that there are great difficulties in accessing health services, especially antiretroviral drugs, laboratory tests and rapid testing during the prenatal period. Thus, the capture of these women is the first and main challenge of nurses in primary care.…”

Section: Category 3 the Role Of Nursing In The Prevention Of Mother-mentioning

confidence: 99%

“…[16][17][18] The puerperal period for the HIV-positive pregnant woman is marked by the feeling of impotence due to not being able to breastfeed her child, being configured in an avid moment by actions of health education, mainly by Nursing. [12][13][14][15][16] The main ways of combating such HIV transmission through breastfeeding are by taking important prevention measures, such as encouraging actions aimed at the early detection of HIV-infected pregnant women and their empowerment as early as possible for the initiation of available interventions, ne should see an improvement in maternal and child care. [11,15] The alternative feeding can take place in the availability of the bank of safe milk and also by the infant milk formula, emphasizing the Pre-nan and Aptamil pre in the substitution of the natural milk.…”

Section: Category 3 the Role Of Nursing In The Prevention Of Mother-mentioning

confidence: 99%

“…[12][13][14][15][16] The main ways of combating such HIV transmission through breastfeeding are by taking important prevention measures, such as encouraging actions aimed at the early detection of HIV-infected pregnant women and their empowerment as early as possible for the initiation of available interventions, ne should see an improvement in maternal and child care. [11,15] The alternative feeding can take place in the availability of the bank of safe milk and also by the infant milk formula, emphasizing the Pre-nan and Aptamil pre in the substitution of the natural milk. In summary, an artificial feeding should include follow-up by the health professional directed to the HIV-positive mother and her baby, in an attempt to minimize the impact of non-breastfeeding, in order to reduce the morbidity and mortality caused by malnutrition, a condition in which the neonate becomes more vulnerable to pathological infections.…”

Section: Category 3 the Role Of Nursing In The Prevention Of Mother-mentioning

confidence: 99%

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Nursing care for mother-to-child transmission of HIV

Branco

Maia

Barbosa³

et al. 2017

int arch med

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Objective: To evaluate, through the literature, the relevance of neonatal care, through professional training in qualified and humanized care, with a view to reducing child mortality.Method: An integrative review of the international scientific literature was carried out, in order to answer the following question: "How does neonatal care, through professional training, have the most qualified and humanized assistance in order to reduce infant mortality?" Eight articles were analyzed, which gave rise to three categories: Assistance aimed at HIV + pregnant women; Alternative breastfeeding and The role of Nursing in the prevention of mother-to-child transmission in the puerperal gravid cycle.

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“…Specificity of HIV, lack of information and the need for qualification mobilize nurses to an active search for knowledge, aimed at strengthening of professional autonomy and quality of care (7) . Pregnancy with HIV diagnosis evidences relevance of the qualified nurse job beyond prevention of the virus vertical transmission, covering emotional and social aspects, seeking integrality (8) .…”

Section: Introductionmentioning

confidence: 99%

Possibilities of care for serodiscordant couples for HIV who got pregnant

et al. 2017

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Objective: Understanding the meaning of pregnancy for heterosexual couples facing serodiscordant situation for HIV, aiming at construction of care possibilities based on subjectivity. Method: Phenomenological research, theoretical-philosophical-methodological framework by Martin Heidegger. Research was conducted in a University Hospital in the countryside of Southern Brazil, from September 2013 to May 2014 through a phenomenological interview, with participation of eleven couples. Results: For the couples, pregnancy is part of life when they wish to have a child, even when one or both of them already have children from previous relationships. In addition, it is part of life when they consider the risks and do not want to have children in such circumstances anymore, but it happened unexpectedly. Conclusion: Understanding reproductive needs and demands of these couples is an aid for qualification and improvement of care as a contribution to nursing care planning towards reproductive health of these couples. Descriptors: Nursing Care; Sexual and Reproductive Rights; HIV; Pregnancy; Philosophy in Nursing. RESUMO Objetivo:Compreender o significado da gestação para casais heterossexuais diante da situação de sorodiscordância para o HIV com vistas à construção de possibilidades de cuidado fundadas na subjetividade. Método: Investigação fenomenológica, referencial teórico-filosófico-metodológico de Martin Heidegger. Foi desenvolvida em um Hospital Universitário no interior do Sul do Brasil entre setembro de 2013 a maio de 2014 por meio de entrevista fenomenológica, da qual participaram 11 casais. Resultados: Para os casais, a gestação faz parte do seu vivido quando têm vontade, desejam e querem ter o filho do casal, mesmo quando um ou ambos já têm filhos de relacionamentos anteriores. Também faz parte quando consideram os riscos e não querem mais ter filhos nessas circunstâncias, mas de forma inesperada isso aconteceu. Conclusão: Compreender as necessidades e demandas reprodutivas desses casais se mostra como subsídio para a qualificação e aprimoramento da atenção como contribuição para o planejamento dos cuidados de enfermagem à saúde reprodutiva desse casal. Descritores: Cuidados de Enfermagem; Direitos Sexuais e Reprodutivos; HIV; Gravidez; Filosofia em Enfermagem. RESUMENObjetivo: Comprender el significado del embarazo para las parejas heterosexuales serodiscordantes al VIH con el propósito de establecer cuidados basados en la subjetividad. Método: Estudio fenomenológico, de referencial teórico, filosófico, metodológico heideggeriano. Se empleó entrevista fenomenológica a once parejas participantes del estudio en el Hospital Universitario de una ciudad en la región Sur de Brasil en el periodo de septiembre de 2013 a mayo de 2014. Resultados: Para las parejas el embarazo forma parte de sus experiencias, ya sea porque desean tener hijos con el/la compañero/a, incluso si uno o ambos ya tienen hijos provenientes de relación anterior. Asimismo forma parte al considerar los riesgos y no desean tener más hijos en ...

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Perception of the nursing team on pregnancy concerning infection caused by HIV

Cited by 5 publications

References 14 publications

Reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome

Reproductive aspects and knowledge of family planning among women with Acquired Immunodeficiency Syndrome

Nursing care for mother-to-child transmission of HIV

Possibilities of care for serodiscordant couples for HIV who got pregnant

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