Clinical and epidemiological profile of pregnant HIV positive pregnants at a municipal hospital in Niterói

Abstract

Objective: To evaluate the epidemiological profile of HIV positive pregnant women, followed up at the Ambulatory of Hospital Municipal Carlos Tortelly de Niterói - RJ. Methodology: This is a retrospective, quantitative and descriptive epidemiological study. There are 103 HIV positive pregnant women aged between 18 and 45 years, attended at the AIDS outpatient clinic / Hospital Municipal Carlos Tortelly (HMCT), from December 2009 to December 2015. Results: The predominant age group between 21 to 30 years (57.3%), with 40.8% having elementary education, 30.1% with family income around one minimum wage, and the majority 60.2% came from the city of Niterói. The detection of HIV, mostly, occurred before pregnancy (57.3%), and only 14.6% of pregnant women did not consume any chemical substance during pregnancy and 45.6% did not suffer opportunistic infection during the follow-up, 28.2 % already had two or more children. Non-elective cesarean was the greatest form of choice for birth (53.4%). Conclusion: The profile is characterized by a vulnerable socioeconomic situation, with a low level of education, and the previous diagnosis precedes the current pregnancy. Prenatal care and ART therapy during pregnancy and childbirth were high. To this end, it is necessary to improve information and actions aimed at expanding care for women, whose integral guarantee and the early diagnosis of HIV are important devices in the reduction of vertical transmission.