Abstract
to understand the experience of pregnancy and motherhood by adolescents/young people who were born infected with HIV. we carried out a qualitative study specialized in HIV service in Porto Alegre (RS/Brazil). Ten adolescents/young people were interviewed from June 2017 to March 2018. Thematic analysis was performed, using a vulnerability framework to reflect about unplanned pregnancy and its implications for care. four categories were highlighted: Discovery of the ongoing pregnancy: ambivalent feelings towards seropositivity; Breaking the news of the pregnancy to partner, family and health professionals; Experience of childbirth and prophylaxis of vertical transmission of HIV; and Experience of motherhood: implications for life stories and future projects. the study contributes to addressing situations of vulnerability to the occurrence of unplanned pregnancy, showing the need for dialogical proposals that respect human rights in the production of comprehensive care and reproductive planning.
Highlights
The right to health care for women with HIV and the unborn child implies the State’s obligation to ensure that motherhood does not bring risks to her health and that of others involved, both through Vertical Transmission (VT) and seronegative and seropositive partners[1]
The possibility of preventing HIV VT, with the prophylaxis strategies recommended by the Ministry of Health - among these the universal antiretroviral therapy in prenatal, delivery and for the exposed newborn; an indication of cesarean or vaginal delivery for pregnant women using antiretroviral and suppression of sustained viral load, if there is no indication for a cesarean for another reason; and replacement of breastfeeding with milk formulas - resulted in progress in the reproductive decisions of this population[2]
Adolescents/young people were in the age group from 19 to 23 years old
Summary
The right to health care for women with HIV and the unborn child implies the State’s obligation to ensure that motherhood does not bring risks to her health and that of others involved, both through Vertical Transmission (VT) and seronegative and seropositive partners[1]. The possibility of preventing HIV VT, with the prophylaxis strategies recommended by the Ministry of Health - among these the universal antiretroviral therapy in prenatal, delivery and for the exposed newborn; an indication of cesarean or vaginal delivery for pregnant women using antiretroviral and suppression of sustained viral load, if there is no indication for a cesarean for another reason; and replacement of breastfeeding with milk formulas - resulted in progress in the reproductive decisions of this population[2]. In addition to the effectiveness of antiretroviral agents for reducing viral load, the offer of assisted reproduction is an option for HIV-positive or serodifferent couples (where one partner has HIV and the other does not have it)(3)
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