Article Text
Abstract
Introduction The vertical HIV transmission occurs from mother to child at the time of pregnancy, labour or postpartum. During postpartum stand out some specific care, such as: administration of chemoprophylaxis with zidovudine in the first two hours to six weeks of life; prophylaxis with trimethoprim-sulfamethoxazole from six weeks to one year; routine clinical/laboratory monitoring; systematic evaluation of the growth/development; immunisation and supply of infant milk formula. This study aimed to evaluate the scientific production of nursing care about the unborn child exposed to HIV.
Methods Integrative Review held in March 2015 in the databases: Latin American and Caribbean Literature in Health Sciences (Lilacs), Medline and Scientific Electronic Library Online (SciELO). The descriptors - Child, HIV, Vertical Transmission of Infectious Disease and Nursing - were combined using the Boolean operators AND and OR.
Results The sample consisted of nine articles in English and Portuguese published from 2006 to 2014. The categories of nursing care were addressed in articles: investigation of maternal perception of this experience; stimulating attachment between mother and child during pregnancy; encouraging verbal and nonverbal communication in maternal care actions - bathing, feeding, changing clothes; assessment of the risks of accidents and other vulnerabilities with focus in the home environment; analysis of vaccination status and awareness of the importance of immunisation; development of management actions of maternal and child care; analysis of the mother’s ability to care for and empowerment. The identified care converge with the recommendations found in the literature and surpass the vertical transmission include broad actions to promote for the mother and child health.
Conclusion Research on this approach can contribute to design of nursing care proposals with a focus on providing comprehensive care to children exposed to HIV.
Disclosure of interest statement This study was funded by CAPES (Higher Education Personnel Training Coordination) and CNPq (National Council for Scientific and Technological Development). No pharmaceutical grants were received in the development of this study.