Aspectos clínicos e de seguimento ambulatorial de recém-nascidos expostos à sífilis e/ou HIV, em uma maternidade no interior do estado do Rio Grande do Sul

Abstract

This article is a result of a research and intervention performed from the experience of three residents (Social Worker, Speech Therapist and Nutritionist) in the Post-Graduation Program in Multi-professional Residence Integrated in Hospital Management and Attention in the Public Health System with emphasis on maternal-child with the objective to describe and verify the clinical behavior adopted with new-borns exposed to syphilis and/or HIV, as well as adherence to monitoring of ambulatory care in the post-discharge. This article is a descriptive-observational study, with quantitative-qualitative type based on secondary data from the Maternity of the University Hospital of Santa Maria. The sample consisting in puerperae with reactive serological tests for syphilis and/or HIV and their respective new-borns, who were hospitalized in joint accommodation during the period from September 2016 to August 2017. Was observed that the most used chemoprophylaxis in new-borns exposed to syphilis was procaine or crystalline Penicillin G, whose mothers (72.58%) inadequately performed the treatment during pregnancy; in relation to HIV the mothers who underwent adequate treatment (51.28%) the new-borns used isolated zidovudine. The highest percentage of complete monitoring of ambulatory care (31.78%), as well as incomplete monitoring (17.76%) followed by not monitoring (8.41%) were children exposed to syphilis. It could be verified that among pregnant women with a predominance of inadequate treatment there was a great involvement of syphilis, the new-borns received prophylaxis and adequate management during and after birth, but was observed a large percentage of non-adherence to monitoring of ambulatory care, as well as absence of monitoring.