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Objective: analyze the counseling services for pregnant women with HIV/Aids performed by an interdisciplinary team in a Special Care Unit. Methodology: this is a qualitative research conducted with health professionals who worked in a public maternity hospital in Fortaleza, Ceara. Data collection occurred between the months of March and May, 2009, through a semi-structured interview and a check-list based on the Ministry of Health guidelines for counseling. The analysis considered the pre-established categories: reception and counseling; vulnerability/risk assessment and development of prevention alternatives. We interviewed seven professionals from the Special Care Unit. Results: the team performed the reception, considered the importance of listening to patients and provided emotional support for pregnant women with HIV/Aids. However, the counseling was rather prescriptive and professionals did not develop prevention strategies together with pregnant women. Conclusion: it was identified that the counseling services did not meet all the criteria established by the Ministry of Health. Descriptors: Counseling. HIV. Pregnancy. RESUMO Objetivo: analisar o aconselhamento para gestantes com HIV/Aids realizado por uma equipe interdisciplinar em um Servico de Assistencia Especializada. Metodologia: trata-se de uma pesquisa qualitativa desenvolvida com profissionais de saude que trabalhavam em uma maternidade publica de Fortaleza, Ceara. A coleta de dados ocorreu entre os meses de marco e maio de 2009, atraves de uma entrevista semiestruturada e de um check-list baseados nas diretrizes preconizadas pelo Ministerio da Saude para a realizacao do aconselhamento. A analise ocorreu considerando as categorias pre-estabelecidas: receptividade e acolhimento; avaliacao de vulnerabilidade/risco e elaboracao de alternativas de prevencao. Foram entrevistadas sete profissionais do Servico de Assistencia Especializada. Resultados: a equipe desenvolvia o acolhimento, valorizava a escuta e prestava apoio emocional as gestantes com HIV/Aids. Entretanto, as orientacoes eram prescritivas e os profissionais nao elaboravam estrategias de prevencao conjuntamente com as gestantes. Conclusao: identificou-se que as acoes do aconselhamento nao atendiam todos os criterios recomendados pelo Ministerio da Saude. Descritores: Aconselhamento. HIV. Gravidez. RESUMEN

revista de enfermagem da ufpi

Interdisciplinary action in counseling for pregnant women with HIV/Aids/Ação interdisciplinar no aconselhamento para gestantes com HIV/Aids/Acción interdisciplinar en el consejo para mujeres embarazadas con HIV/Sida