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The
interface
between pregnancy motherhood and the adherence to antiretroviral
treatment for mothers with HIV/AIDS
W. Santos1, M. Medeiros2, L. Oliveira3
1Federal University of Goias, Catalão, Brazil, 2Federal University of Goias, Goiânia, Brazil, 3Non-governmental Organization, Goiânia, Brazil
Background: The
pregnancy during the HIV/AIDS presents obstacles related to women
physiological aspects, vertical transmission and impact of
antiretroviral therapy(ARVT) in the women's body and the fetus.This is a relevant issue since UNAIDS(2006) reported that half the
people in the world infected with HIV/AIDS in the age among 15 and 49
years old are women. In this research we sought to understand the
interrelations about health-disease process and the meanings of life
granted by women who became mothers after diagnosis of HIV/AIDS. Methods: Qualitative
approach of social research developed in a non-governmental
institution that supports children, adolescents and women with
HIV/AIDS in a Brazilian state capital. Ten HIV/AIDS woman who got
pregnant after they knew their positive infection result, participate
in this research. Data were collected through semi-structured
interviews and photographs as a supportive material. The recorded interviews were
transcript by researcher and analyzed through content analysis
method. Results: The
women's age was from 28 to 42 years old and five of them are single
and live in their relative's home. All of them knew about HIV/AIDS
infection about two years at least before pregnancy. From interviews
supported by pictures emerged two categories: “collateral effects
of ARVT” and “treatment adherence after pregnancy/motherhood”.All participants reported that pregnancy make possible to realize the
importance of ARVT therapy for HIV vertical infection prevention, and
also that in despite of ARVT's collateral effects they stay the
continuous using, and even feeling the effects of the medication,
remained with their continued use because being mothers with HIV/AIDS
include experiences that reward the negative aspects related to that
medications. Conclusions: Thus, pregnancy
is a key time for health actions implementation aiming antiretroviral
treatment adherence, and to know the complexity of this issue will
help health professionals to assist assertively women with HIV/AIDS
in the health-disease process.
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