Landroni MA, Martins CL; International Conference on AIDS (15th : 2004 : Bangkok, Thailand).
Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. B10896.
Specialized clinic of STD/AIDS Santana - Health Departament - Sao Paulo City council
Background: Although the universalization of antiretroviral therapy for the prophylaxis of vertical HIV transmission was a large advance, the innumerable questions involved in the field of reproductive healthcare attendance actions in the context of HIV/AIDS are far from being resolved in Brazil. The present study has sought to understand, from the perspective of women living with HIV/AIDS, how comprehensive care could be incorporated into attendance practices, thereby contributing towards their reproductive health and the prevention of vertical transmission. Methods: In-depth interviews via a thematic scheme were held with 14 women who became pregnant while they were being followed up at a specialized sexually transmitted disease/AIDS service in the municipality of Sao Paulo. Results: The interval between enrollment in the service and the diagnosis of pregnancy was approximately two years, thus suggesting that there would have been the possibility of prior guidance regarding reproductive healthcare and pregnancy for these women. The interviewees gave positive appraisals of the service, although the results obtained identified difficulties in reproductive healthcare counseling. We observed that the demands brought by the women to the service at the time when they decided to become pregnant, as well as when they wanted to avoid pregnancy and when faced with the choice of interrupting an unwanted gestation were not taken in by the service. This gives evidence of the difficulties of incorporating the caregiving dimension into attendance practices. Conclusions: The medically centered model and the technologies employed aim primarily towards the control of the infection and do not take into account the intersubjective matters involved at the time of attendance and the women's plans for happiness. The findings indicate the need for devising technologies that actually consider comprehensive care in the attendance practices proposed.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Brazil
- Comprehensive Health Care
- Counseling
- Delivery of Health Care
- Disease Transmission, Vertical
- Female
- HIV Infections
- HIV Seropositivity
- Health Services Needs and Demand
- Humans
- Pregnancy
- Pregnancy Complications, Infectious
- Pregnancy, Unwanted
- Reproductive Medicine
- transmission
Other ID:
UI: 102276555
From Meeting Abstracts