Infection 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.
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