STRENGTHENING THE MATERNAL-FETAL DYAD: NURSING CARE PROCESSIN A PREGNANT WOMAN WITH HIV

Abstract

Introduction: Pregnancy in women with Human Immunodeficiency Virus (HIV) presents a clinical and ethical challenge for nursing professionals due to the risk of vertical transmission and the coexistence of other obstetric complications. In these cases, the application of a structured nursing process promotes comprehensive care and the prevention of maternal-fetal risks. Objective: To apply Marjory Gordon's theory of eleven functional health patterns in the care of a pregnant woman with HIV, urinary tract infection, cervical insufficiency, and cervicovaginitis, in order to prevent complications and promote maternal-fetal well-being. Methodology: A descriptive case study was conducted in an obstetrics hospital. Comprehensive assessment tools were applied, and NANDA diagnoses, NOC outcomes, and NIC interventions were fórmulated based on clinical practice guidelines and recent scientific evidence. Interventions: Nursing actions focused on prenatal education, monitoring for warning signs, infection control, treatment adherence, emotional support, and strengthening self-care. Coping strategies and measures to improve rest and quality of life were employed. Results: The patient showed clinical and emotional improvement, adherence to antiretroviral treatment, and a reduction in urinary and vaginal symptoms. Continuous follow-up and health education promoted pregnancy stability and a positive perception of motherhood.