[Reduction of vertical HIV transmission: a challenge for nursing care]. / Redução da transmissão vertical do HIV: desafio para a assistência de enfermagem.

With the crescent rates of HIV infection within female population in reproductive age, we may observe a correspondent increase in congenital infections. Thus, the obstetric nurse must be updated to participate and to develop programs of pre-natal care for HIV pregnant women. The purpose of this study was to review the pre-natal follow-up of this population regarding nursing care. Authors did not intend to approach all aspects of this subject, especially considering that investigations extend the great improvements already achieved since the acknowledge of the disease.

[Nursing care to pregnant women with iron deficiency anemia]. / Consulta de enfermagem a gestantes com anemia ferropriva.

This study was carried out with the following objectives: to set up a protocol of data survey and nursing diagnosis, and to detect the most frequent nursing diagnosis among pregnant women with iron deficiency anemia. The protocol was applied in 52 nursing visits to pregnant women who presented hemoglobin values lower than 11.0 g/dl. The most frequent nursing diagnosis were: altered nutrition, risk to infection, impaired maintenance of the home; knowledge deficit on adequate feeding; risk to fetal injury regarding decrease in uteroplacental perfucion; non-compliance risk. Based on nursing diagnoses, interventions and nursing expected results with its application were planned.

[Role of the obstetric nurse in the Anhanguera community, Campo Grande (MS), in the prevention of cervical cancer]. / Atuação da enfermeira obstetra na comunidade Anhanguera, Campo Grande (MS), na prevenção do câncer cérvico-uterino.

This is a transversal study, developed between women of the Anhanguera community, with the objectives of knowing the demographic, sociocultural, gynecological and obstetric profile and of assessing health preventive behaviors in order to elaborate a plan of obstetric nursing assistance. The research tool was a form applied at home during visits to 104 women. Our results showed that 23.08% did not know about cancer prevention, 50.00% never performed it, 77.88% presented gynecological complaints but, 62.96% of these never looked for health services. Based on nursing diagnoses a plan of nursing care and health education was elaborated for the women from this community.

PIP: In the community of Anhanguera, a poor neighborhood of the state of Mato Grosso do Sul, Brazil, a cross-sectional study was carried out in May 1995 dealing with the prevention of cervical cancer. 104 out of 142 women living in the community were enrolled, and semistructured questionnaires containing questions concerning demographic, sociocultural, obstetrical, gynecological information and diagnosis were administered. Second-year nursing school students made the home visits and collected the data. A 1995 analysis showed that in the previous 10 years there had been a steady increase of deaths due to cervical cancer in this state, especially among women aged 50 years and older owing to difficulty of access to prevention programs or the lack thereof in basic health units and nonutilization of such services by women at risk. Most women studied were in reproductive age, with little or no education, and a steady partner. There was a high percentage of multiparas (38.46%), 79.25% of deliveries were normal, and 20.75% were by cesarean section. 94.66% of newborn infants were breast-fed and 73.39% were breast-fed for 6 months or more. 23.08% of the women did not know about cervical cancer prevention programs and only 50% reported that they had made a visit for preventive examination at least once. 77.88% of the women had gynecological complaints (amount of menstrual flow, vaginal discharge, dysmenorrhea, lower abdominal pain, menstrual irregularity, and vulvar itching), but only 37.04% obtained medical help.