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REVIEW
Vertical transmission and COVID-19: a scoping review
Revista Brasileira de Enfermagem. 2021;74(suppl 1):e20200849
05-21-2021
Resumo
REVIEWVertical transmission and COVID-19: a scoping review
Revista Brasileira de Enfermagem. 2021;74(suppl 1):e20200849
05-21-2021DOI 10.1590/0034-7167-2020-0849
Visualizações0ABSTRACT
Objective:
Analyze available evidence related to SARS-CoV-2 infection and vertical transmission.
Methods:
Scoping review, according to the Joanna Briggs Institute and PRISMA-ScR. Searches were conducted in five electronic databases to find publications about coronavirus infection and vertical transmission. Data were extracted, analyzed and synthesized by three independent researchers using a descriptive approach.
Results:
The search resulted in 76 publications. After selective steps, 15 articles – retrospective descriptive or case studies – were analyzed, all in English. In order to track the infection, specimens were collected from neonates through nasal swabs and C-reactive protein from breast milk, cord blood, amniotic fluid, placenta and vaginal secretion was analyzed. A small percentage of neonates tested positive for COVID-19, but these cases were not attributed to vertical transmission.
Conclusion:
Vertical transmission could not be demonstrated. Research protocol registered with the Open Science Framework (https://osf.io/fawmv).
Palavras-chave: Coronavirus InfectionsInfant, NewbornInfectious Disease Transmission, VerticalObstetric NursingReviewVer mais -
ARTIGO ORIGINAL
HIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74(suppl 4):e20190784
01-22-2021
Resumo
ARTIGO ORIGINALHIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74(suppl 4):e20190784
01-22-2021DOI 10.1590/0034-7167-2019-0784
Visualizações0ABSTRACT
Objective:
To analyze the epidemiological profile of HIV infections in pregnant women.
Methods:
Analytical study with a quantitative approach.
Results:
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).
Conclusion:
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.
Palavras-chave: HIV InfectionsInfectious Disease Transmission, VerticalPregnant WomenPrenatal CarePublic HealthVer mais -
ORIGINAL ARTICLE
Preventing vertical HIV virus transmission: hospital care assessment
Revista Brasileira de Enfermagem. 2020;73(3):e20190491
04-22-2020
Resumo
ORIGINAL ARTICLEPreventing vertical HIV virus transmission: hospital care assessment
Revista Brasileira de Enfermagem. 2020;73(3):e20190491
04-22-2020DOI 10.1590/0034-7167-2019-0491
Visualizações0ABSTRACT
Objectives:
assess the implementation of actions to prevent vertical transmission of HIV.
Methods:
a retrospective cohort study conducted in two maternity hospitals in the city of Montes Claros, State of Minas Gerais. All women admitted for childbirth diagnosed with HIV and their respective newborns were included from 2014 to 2017. Data were collected from medical records and analyzed descriptively.
Results:
population consisted of 46 pairs of mothers and newborns. Management was considered inadequate in 30 cases of parturient/postpartum women (65.2%) and 14 cases of newborns (30.4%). The main reasons for inadequate maternal management were lack of pharmacological inhibition of lactation (53.3%) and counseling/consent for HIV testing (43.3%). For newborns, late onsetoffirst dose ofZidovudine (50.0%) and no prescriptionofNevirapine (28.6%).
Conclusions:
important prevention opportunities were missed, pointing to the need for improved care.
Palavras-chave: Health Services ResearchHIVHospitalsInfectious Disease Transmission, VerticalPrevention and ControlVer mais