SANTOS, Andressa Mendes; SILVA, Patricia Rodrigues da; CAMPELO, Gabriel Vitor de Sousa
Abstract:
Introduction: Prenatal care is an important strategy for preventing the vertical
transmission of HIV. In this context, early diagnosis, performed through a rapid HIV
test during the first prenatal consultation and confirmed by serological testing, is
essential for the immediate implementation of appropriate therapeutic measures. In
this context, the nursing professional directly engages in the reception, guidance, and
follow-up of pregnant women living with HIV. Objective: To analyze the perceptions
and experiences of nursing professionals regarding the challenges and strategies
involved in prenatal care for pregnant women with HIV in a municipality in the
Midwest region of Brazil. Method: This is a descriptive and exploratory field study
with a qualitative approach, based on Bardin's Content Analysis, conducted in 11
Primary Health Care Units, with the participation of 16 nursing professionals. Data
were collected through semi-structured interviews and analyzed according to the
content analysis technique. Results: The findings revealed professional insecurity,
perceptions of unpreparedness, and weaknesses in academic training, associated
with limited practical experience in monitoring these pregnant women. Challenges
related to stigma and social prejudice, difficulties in accessing specialized services,
and the absence of a specific protocol in the municipality were also identified. On the
other hand, strategies such as welcoming, active listening, health education, and
bond-building were identified as important factors for improving adherence to
prenatal follow-up and treatment. Final considerations: The study reinforces the
importance of professional training, continuing education, and the development of
specific protocols to improve the quality of care and strengthen the prevention of
vertical HIV transmission.
