Protocol for Diagnosis and Treatment of HIV in Pregnancy at a Hospital in the Brazilian Amazon

Abstract

Objective: to analyze HIV during pregnancy and develop a protocol for diagnosis and treatment of HIV during pregnancy to be used at the Hospital de Base Ary Pinheiro in the State of Rondônia, Western Amazon. Methods: bibliographic review from the database of virtual Scielo and Bireme. The following descriptors for research in the Portuguese language were combined: “HIV infections”; “Vertical transmission of infectious disease”; “Highly active antiretroviral therapy”; “Adverse effects” and “pregnancy”. Results: as a result of the research, a protocol was developed to be followed by the professionals of the Obstetric Center of the Hospital de Base Dr. Ary Pinheiro (HBAP) in the management of HIV-positive patients during pregnancy. Final considerations: the most effective measure to avoid vertical transmission is the use of antiretrovirals and the use of combined antiretrovirals, in general, from the 14th week of gestation and the use of intravenous AZT at delivery. Adequate care for infected pregnant women involves, in addition to treatment with antiretrovirals capable of making and / or maintaining the viral load undetectable, general measures in prenatal care (such as care for the pregnant flora of the pregnant woman, vaccines), care during work delivery and suspension of breastfeeding. Thus, the expansion of the offer of antenatal care and the improvement of its quality are essential conditions for the reduction of vertical transmission to effectively occur.