Prevalence of HIV infection in pregnantin northern Brazil

Abstract

Introduction: from the changes in the epidemiological behavior of the transmission of human immunodeficiency virus (HIV) prevalence studies also showed differences, especially among women, and in this context a group of great epidemiological importance are pregnant. Objective: to evaluate the prevalence and diagnosis of HIV-infected pregnant women in public maternity hospital in the north of Brazil. Method: a descriptive, retrospective study of 770 records of pregnant women attending the obstetrics triage in the hospital Fundação Santa Casa de Misericórdia do Pará in the period from 2004 to 2010. Results:the prevalence for the period was 1.87%. As to diagnosis of HIV infection 75.1% knew that they were HIV-infected before the current pregnancy, 3.6% learned during the prenatal totaling 78.7% the coverage of the diagnosis of HIV infection before the arrival of motherhood and 21.3% at delivery through rapid test. Statistical analyzes were tested by chi-square contingency, G Test or ANOVA, with the alpha level of significance of p < or = 0.05. Conclusion:knowledge of the prevalence and diagnosis of the largest sample of pregnant HIV-infected Brazilian Amazon shows that the 21.3% rate of failed diagnosis of HIV infection at delivery, argues against the quality of execution health programs and, above all, shows that the care team must better accommodate pregnant women during prenatal care. The State of Pará showed high prevalence rate of HIV infection in pregnancy, as opposed to other country regions.