Vivências de profissionais de saúde no processo de cuidar de mulheres soropositivas no ciclo gravídico puerperal ; Experiences of health professionals in the process of care for hiv positive women during pregnancy and puerperium

Aids constitutes an important public health problem worldwide, especially in emerging and poor countries. The disease, initially present in the gay category located in major cities, had a change in its configuration with the epidemic pauperization and feminization. Public policies were intensified to decrease the rate of vertical transmission of HIV. Prenatal care quality improving, health professionals training, pregnant women early diagnosis, specialized mother-baby care services creation and the expansion of maternity hospitals involved in the project Nascer are some of the strategies used to control HIV maternal-fetal transmission. The research general goal was to analyze health professionals discourses regarding the experiences in care and the operational and technical aspects provided to contaminated pregnant women of HIV. The specific objectives are: to know the experience of health professionals regarding the care provided to contaminated pregnant women and parturients; to identify the operational and technical conditions provided by health professionals to pregnant women and parturients living with HIV. This is an exploratory study following a qualitative approach. To do the research, we could count on the participation of eighteen health professionals, among them five nurses, five doctors and eight nursing technicians, all of them Lauro Wanderley University Hospital(HULW) employees, working in obstetrical units and SAE-MI, both references in the care of pregnant women and parturient for HIV. The data were collected in December of 2010 by using interview techniques and a recorder. Later, they were transcribed and organized using software Atlas.ti version 6.0 and, afterwards, they were analyzed qualitatively using the technique of discourse analysis (DA) following Orlandi approach. From the discourses, four discursive formations emerged: the professionals‟ experience in the care of HIV contaminated women during pregnancy and puerperium; health professionals‟ perceptions about pregnancy in women with HIV, ...