Universidade do Estadodo Pará. Belém, Pará, Brazil.
Rev Bras Enferm. 2021 Jan 22;74(suppl 4):e20190784. doi: 10.1590/0034-7167-2019-0784. eCollection 2021.
To analyze the epidemiological profile of HIV infections in pregnant women.
Analytical study with a quantitative approach.
The HIV rate in pregnant women increased from 1.5/1000 babies born alive, in 2010, to 3.3/1000 in 2017. There was a significant association between the prenatal and the variables educational level (p<0.0001), occupation (p=0.0105), gestational age (p < 0.0001), and type of delivery (p < 0.0001). The mean rate of adherence to the antiretroviral treatment in the prenatal was 68.8% (DP = ± 3.7).
The high rates of HIV detection in pregnant women suggest the need to intensify the health care to women during the prenatal, guaranteeing an integral care, early diagnoses, and enhancing the strategies to improve the adherence to the antiretroviral treatment, aiming to achieve the viral suppression of the mother by the time of childbirth, thus diminishing the risk of a vertical transmission.
分析孕妇 HIV 感染的流行病学特征。
采用定量分析的方法进行分析性研究。
2010 年，HIV 在活产婴儿中的发生率为 1.5/1000，到 2017 年上升至 3.3/1000。产前与教育程度（p<0.0001）、职业（p=0.0105）、孕龄（p<0.0001）和分娩方式（p<0.0001）之间存在显著相关性。产前抗逆转录病毒治疗的平均依从率为 68.8%（DP = ± 3.7）。
孕妇 HIV 检测率较高，提示需要加强孕妇产前保健，保证全面护理、早期诊断，并加强提高抗逆转录病毒治疗依从性的策略，以期在分娩时实现母婴病毒抑制，从而降低垂直传播的风险。
