DESAFIOS PARA O ACOMPANHAMENTO DE GESTANTES SOROPOSITIVAS PELOS PROFISSIONAIS DE ENFERMAGEM EM UM MUNICÍPIO DO CENTROOESTE

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.