Women Living With Hiv: The Decision to Become Pregnant

Abstract

To analyze the perception of HIV positive women regarding the decision to become pregnant; investigate women's knowledge about HIV positive health care in the prevention of vertical transmission. Method: This is a descriptive and exploratory qualitative research. We used a script of questions and the interviews were taped and later transcribed. Results: The study revealed that positive serology for HIV is not a limiting factor for the decision to become pregnant. Although the fear of transmitting the virus is present, it is overcomed by the desire to be a mother and the expectation of having a healthy child. Conclusion: Reproductive decisions of HIV positive women should be valued during the health care assistance so they can make consciously, democratic and emancipatory life decisions. Descriptors: Nursing, HIV seropositivity, Gender.

Construção e Validação de cartilha para prevenção da transmissão vertical do HIV

“…The importance of family support is emphasized as an important factor in living with the disease. (24) Validating the educational material with representatives of the target audience is a necessary attitude and an important gain for the researcher and the team involved. It is the moment in which there is a realization about what is lacking, what has not been understood, and the distance between what is written, what is understood and how it is understood.…”

HIV na gestação: pré-natal, parto e puerpério

“…A realização do Teste Anti-HIV foi apresentada por seis (43,1%) estudos, como sendo a primeira etapa de prevenção da transmissão vertical do HIV, já que, logo após a confirmação da doença, a gestante deve ser orientada sobre os cuidados e tratamentos. É preconizado que esse exame seja feito pela gestante logo na primeira consulta de pré-natal, porém muitas gestantes ainda têm uma resistência para realizar o exame, demonstrando receios em descobrir sua condição sorológica, caso seja positiva 3,5,13,14,16,17 .…”

“…A escolha do tipo de parto que será realizado em parturiente soropositivo dependerá do nível de sua carga viral, sendo que, em quatro (30,7%) estudos, o parto Cesário foi destacado como o mais recomendado e seguro, pois o risco de transmissão vertical para o RN é mínimo 5,12,15,17 .…”

Educational technologies and practices for prevention of vertical HIV transmission

“…Health professionals should be available for dialogue and linked to issues of gender, sexuality and reproductive health, without losing sight of the ethical, social and cultural dimensions that normalize the lives of HIV positive women. The decisions and desires of women should therefore be discussed in order to provide women with adequate information on the safest recommendations for family planning, as well as on the care needed during pregnancy, delivery and puerperium, and respect for their rights as citizens (23) .…”