%0 Journal Article %T Transmiss o vertical do HIV em popula o atendida no servi o de refer那ncia Vertical transmission of HIV in the population treated at a reference center %A Sueli Teresinha Cruz Rodrigues %A Maria Jos谷 Rodrigues Vaz %A Sonia Maria Oliveira Barros %J Acta Paulista de Enfermagem %D 2013 %I Universidade Federal de S?o Paulo %X OBJETIVO: Identificar a taxa de transmiss o vertical do HIV e avaliar os fatores envolvidos em partes materna e fetal. M谷TODOS: Estudo transversal realizado no Servi o de Atendimento Especializado. Foram investigados 102 prontu芍rios de mulheres com HIV que deram 角 luz a rec谷m-nascidos vivos. RESULTADOS: A preval那ncia de 6,6% de transmiss o vertical. Entre as crian as infectadas: 40,0% de m es sem pr谷-natal e 75% sem a profilaxia com anti-retrovirais durante o pr谷-natal, 50,0% sem profilaxia com AZT com oral e amamentado. Entre as crian as n o infectadas: 91,5% iniciaram a profilaxia com AZT oral ao nascimento e 84,1% das m es receberam ARV. CONCLUS O: A ocorr那ncia de transmiss o vertical do HIV no servi o de refer那ncia correspondeu a 6,6%, o que indica uma alta preval那ncia. OBJECTIVE: To identify the rate of vertical transmission of HIV and assess the factors involved in maternal and fetal share. METHODS: Cross-sectional study conducted in the Specialized Care Service. We investigated 102 clinical records of HIV positive women who had given birth to live newborns. The primary variable was the occurrence of vertical transmission of HIV and the secondary variables were the factors associated with vertical transmission of HIV. RESULTS: Prevalence of 6.6% of vertical transmission. Among the infected children: 40.0% of mothers with out prenatal care and 75% without prophylaxis with antiretroviral drugs during the prenatal, 50.0% without AZT prophylaxis with oral and breast-fed. Among the uninfected children: 91.5% were started on prophylaxis with oral AZT at birth and 84.1% of mothers received ARV delivery. CONCLUSION: The occurrence of vertical transmission of HIV in the reference service corresponded to 6.6%, indicating a high prevalence. %K Enfermagem obst谷trica %K Cuidados de enfermagem %K S赤ndrome da imunodefici那ncia adquirida %K Infec es por HIV %K Obstetric nursing %K Nursing care %K Acquired immunodeficiency syndrome %K HIV infeccions %U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002013000200009