Significações psicossociais do diagnostico de HIV e do impedimento da amamentação para as gestantes : um estudo clinico-qualitativo / Psychosocial meanings of the HIV diagnosis and the impossibility of breasfeeding for pregnant womem : a clinical-qualitative study

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

Objectives - The general purpose of this study was to interpret psycho-social conceptions reported by women as they discover an HIV-infection during prenatal care at a specialized facility in a Woman s Health Center (Centro de Atenção Integral à Saúde da Mulher) of the University of Campinas (Caism/UNICAMP). Specific objectives were to recognize conflicts and afflictions generated after receiving an HIV diagnosis and discuss meanings of motherhood and proscription of breastfeeding in the setting of HIV infection. Methods: Exploratory study conducted in a clinical-qualitative way; the sample size was defined by the saturation of collected information. The sample was composed of recently diagnosed HIVinfected pregnant women (ages from 22 to 31 years, gestational ages from 15 to 38 weeks, mostly multiparous, housewives, and reporting stable relationships. Results and Discussion: From the analyzed data, it became clear that the experience of a newly found HIV infection diagnosis during pregnancy gives rise to intense emotions, fantasies and conflicted feelings, along with resistance in accepting emotions and great fear of mother-to-child transmission of HIV, even in face of minimal risks achievable by antiretroviral prophylaxis. Also emerged feelings of affliction and stigmatization related to suppression of breastfeeding. Final Considerations: We believe that pregnancy in the setting of HIV infection demands double amounts of effort in redefining one s self, in the sense that the woman must acknowledge herself as both a mother and a carrier of HIV. Results show that these women are faced with adverse circumstances involving the desire to breastfeed and, concomitantly, to preserve the health of their children.

ASSUNTO(S)

pesquisa qualitativa infecções por hiv transmissão vertical de doença gravidez hiv (viruses) pregnancy qualitative research hiv (virus) vertical disease transmission hiv infections

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