Profile of infected pregnant women and children exposed to HIV at a specialized service in the South of Brazil

Abstract

Objectives: to characterize the social and clinical profile of pregnant women infected with HIV, the factors associated to the prevention of vertical transmission, and to analyze the quality of the information available in the SINAN notification forms and clinical records of infected pregnant women and children exposed to HIV in a specialized service in the countryside of Rio Grande do Sul. Methods: retrospective documentary study conducted from medical records of 110 HIV mothers and their children born between June/2014 and March/2017. For the analysis, the absolute frequency and the data percentage were taken under consideration. Results: the characterization of infected women represents a Brazilian scenario among young adults, low schooling level and the occurrence of unpaid employment situation. Most mothers underwent treatment during pregnancy and had prenatal care with the intention of applying the prophylactic measures recommended by the national protocols. A greater occurrence of incompleteness of data in the factors of prevention of vertical transmission was identified. Conclusions: the compromise is identified regarding the quality of assistance addressed to the population, which is largely exposed to unfavorable social conditions. The occurrence of data incompleteness shows that there is still not a culture among health professionals that ensures that the information is adequately filled out and favors the exchange of the information among the services.

HIV in pregnant woman and children: Mother‐to‐child transmission of HIV in the Brazilian land border from 2010 to 2021

“…However, there is a larger proportion of women aged 30 and older, consistent with findings from other Brazilian studies. 19,24,25 This, coupled with the fact that 58.1% of pregnant women received their HIV diagnosis before prenatal care, suggests that WLHIV may choose motherhood with the aim of preventing MTCT. 4,26 The analysis of prenatal care and childbirth revealed that 92.8% of pregnant WLHIV in border areas received prenatal care, a lower proportion compared to national data reported in maternity hospitals.…”

El embarazo y los efectos que produce en la salud de las mujeres VIH positivas

“…Las características sociales que se presentaban en las embarazadas seropositivas provenientes de Brasil muestran que aquellas que tienen un menor nivel socioeconómico y de escolaridad presentan mayor riesgo de infección fetal y mayores efectos adversos que las embarazadas seropositivas con mejores recursos económicos y educacionales 6,7 . Por otra parte, un tercio de las mujeres tienen menos de 8 años de escolaridad; los factores que llevaron a las mujeres a retirarse de la escuela incluyen el quedar embarazadas, la necesidad de trabajar para mantenerse y la adherencia a los roles de género tradicionales 8 .…”

Resposta ao gerenciamento de conformidade farmacológica e clínica de crianças expostas ao HIV

“…The better level of education, measured in years of study, among the participants with high capacity for childcare proved to be an important factor that can interfere directly in the family caregiver's better understanding of the needs of a child exposed to HiV. The low instructional level reflects in limited maternal access to VT instructional preventive measures, as shown in a retrospective documentary study conducted in medical records of 110 mothers with HiV and their children (20).…”