2013-06-032013-06-032012MENEZES, Labibe do Socorro Haber de. Perfil epidemiológico de grávidas HIV positivas em maternidade pública no estado do Pará. 2012. 81 f. Dissertação (Mestrado) - Universidade Federal do Pará, Núcleo de Medicina Tropical, Belém, 2012. Programa de Pós-Graduação em Doenças Tropicais.https://repositorio.ufpa.br/handle/2011/3946Infection with human immunodeficiency virus (HIV) affects more women of reproductive age, which consequently favors the growth of vertical transmission. With the proposal to obtain information on the epidemiological situation of HIV-infected pregnant women in most public hospital in northern Brazil, was conducted a descriptive retrospective study involving 770 pregnant women attending the obstetric triage of Santa Casa of Misericórdia of Pará, from 2004 to 2010. After analyzing the data obtained from medical records under the ethical guidelines recommended, we obtained the following results: the prevalence and incidence in the period were 1.87% and 0.40% respectively, the predominant age group was between 18 and 23 years (42.1%), and 50.4% had incomplete primary education, 68.2% had home activities, 89% were single and most came from municipalities with over 50,000 inhabitants (Belém, 53.9 %; Ananindeua, 13.0%, 4.8% Castanhal; Paragominas, 3.6%, Tailândia 3.5%, 3.1% Barcarena; Marituba, 2.9%; Abaetetuba, 1.8% and São Miguel do Guamá, 0.6%). Prenatal care was performed by 91.9% of pregnant women, with 4 to 6 appointments (61.0%), 85.2% sought Units Basic Health Units and 12.8% of the reference service and follow-up care of HIV positive women, 75.1% knew that before the current pregnancy were infected with HIV, 3.6%, learned during the prenatal and 21.3% at delivery through the rapid test, totaling 78 7% coverage of the diagnosis of HIV infection before the arrival of motherhood, and of these 75.1% had specific treatment during the prenatal period. The surgical delivery was the most frequent (85.1%), 89.7% of pregnant women received zidovudine prophylaxis at birth, 85,1% of these had cesarean and 14,9% vaginally. Knowledge of epidemiological variables of the largest sample of pregnant HIV-infected Brazilian Amazon, arriving motherhood, concluded that the profile of age, education, adherence to prenatal care and number of appointments is consistent with national data, however, most pregnant merits of municipalities of medium and large are opposed to the phenomenon of internalization of the epidemic as the smaller municipalities in the country is being observed. A rate of 21.3% fault coverage diagnosis of HIV infection at birth, which is still observed in many Brazilian services, militate against the implementation of health programs with quality and above all shows that the care team need to better accommodate pregnant women during prenatal care, regardless of the number of queries, since the HIV test must be requested during their first consultation. These measures should be strengthened in the state of Para, which showed a high prevalence rate, in contrast with other regions of the country where there is a decrease, which has favored the increase in the number of children infected with HIV in Brazil.porAcesso AbertoInfecções por HIVSíndrome de Imunodeficiência AdquiridaGravidezTransmissão de doenças infecciosasPará - EstadoAmazônia brasileiraDissertaçãoCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::EPIDEMIOLOGIACNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICACNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::GINECOLOGIA E OBSTETRICIACNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::DOENCAS INFECCIOSAS E PARASITARIAS