Início A notificação compulsória de sífilis em gestantes e a ocorrência de sífilis...
assistência pré-natal
A notificação compulsória de sífilis em gestantes e a ocorrência de sífilis congênita: um estudo comparativo
Resumo:
BACKGROUND: Syphilis, an infectious disease caused by Treponema pallidum, can lead to Congenital Syphilis (CS). Vertical transmission occurs through the bloodstream and is preventable with early diagnosis during prenatal care. The nurse plays a vital role, encouraging treatment and compulsory notification through SINAN, contributing to epidemiological control. OBJECTIVE: This study aimed to analyze the data of diseases of notification of syphilis in pregnant women and congenital syphilis according to SINAN and describe the performance of nursing in the maternal-fetal binomial. METHODS: The methodology consisted of an exploratory and descriptive analysis of secondary data from the Notifiable Diseases Information System (SINAN) regarding cases of syphilis in pregnant women and congenital syphilis in the Federal District and São Paulo, between the years 2020 and 2021. RESULTS: The COVID-19 pandemic affected notifications, impairing proper monitoring. There was a reduction in cases of syphilis in pregnant women; however, an increase in cases of congenital syphilis was observed, possibly due to interruptions in reporting. Nurses play a crucial role in prenatal care, educating about syphilis, early diagnosis, and treatment adherence. Adequate prenatal care and proper treatment are essential to reduce vertical transmission. A preventive, inclusive, and high-quality approach is necessary to combat congenital syphilis. Primary Health Care should take responsibility for comprehensive care for pregnant women, aiming at effective prevention. FINAL CONSIDERATIONS: In conclusion, the study highlights the need for syphilis notification, strengthening prenatal care, professional training, access to diagnostics, and emotional support. The commitment of nursing is vital to improve maternal and infant health outcomes and reduce adverse consequences.
Keywords: Prenatal care, congenital syphilis, gestational syphilis.
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As vivências de mulheres HIV positivas durante o acompanhamento do pré-natal e no pós-parto
Resumo:
Abstract: Introduction: Pregnancy is a moment that brings many emotions in women's lives and the positive diagnosis for HIV will interfere directly in their prenatal care. This study aimed to understand the experiences of HIV-positive women during prenatal and postpartum follow-up. Review: This is a literature review study. The Virtual Health Library (VHL) was used to select the articles that guided the research. In the VHL, the following descriptors were used: HIV, pregnant women, prenatal care, maternity, feelings and mental health care, crossed with each other using the Boolean operator AND to interconnect the descriptors. The filtering criteria for inclusion of the articles were: Portuguese and English, last 5 years and the databases (Lilacs, Scielo, BDENF, MEDLINE). Discussion: After study and analysis of the 11 articles chosen to compose the work, it was possible to identify three aspects that are most part of the experiences of HIV-positive women during pregnancy and postpartum, they are: The feelings, emotions and mental health, the relationship with partners, family members and health professionals and the stereotypes about the diagnosis and how it affects seropositive pregnant and postpartum women. Final considerations: The multiprofessional team needs to have an active listening and clinical look in order to provide a comprehensive care that attends all the biopsychosocial issues of HIV-positive women, from pregnancy planning to postpartum.
Keywords: mental health care, prenatal care, pregnant women, HIV, maternity, feelings.
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