A INFLUÊNCIA DA CARGA VIRAL NA ESCOLHA DA VIA DE PARTO NA GESTANTE QUE CONVIVE COM O HIV NO SAE/HULW

Abstract

Advances in the fight against HIV, as well as an increase in access to antiretroviral therapy, have allowed a reduction in morbidity and mortality related to the virus. In Brazil, health programs contributed to an overall reduction in the incidence of cases of HIV infection. However, there has been an increase in the number of HIV cases in pregnant women in the last ten years. Within this context, the prevention of vertical transmission of the virus is an important method of interrupting its chain of infection. The present work aimed to relate the viral load to the chosen mode of delivery in pregnant women living with HIV who were treated at the HULW and who are followed up at the SAEMI/HULW. In addition, the CD4 T lymphocyte count and the ART regimen chosen during delivery were also analyzed, as well as the viral load of newborns after delivery. A crosssectional, descriptive, observational study with a quantitative approach was conducted in the referred service. 31 patients participated in the project, whose SAE/HULW records were analyzed for data collection. After the data’s analysis, it was shown no relation between the viral load and the mode of delivery. Twelve different indications of cesarean section were identified in a total of 24 surgeries, of which 75% had an absolute indication. Regarding the follow-up of patients at the SAE/HULW, it was observed that most of the pregnant women had performed an adequate number of prenatal consultations, in addition they had an undetectable viral load, were in regular use of the ART and had a count of CD4+ T lymphocytes greater than 200 cells/mm³. All ART regimens used were in accordance with the Ministry of Health's recommendations of 2022, and no cases of vertical transmission of the virus were observed. Based on the results obtained, the care offered to pregnant women effectively contributed to the control of the virus infection and its vertical transmission.