{"id":58116,"date":"2026-03-12T16:12:18","date_gmt":"2026-03-12T16:12:18","guid":{"rendered":"https:\/\/www.mediconanet.pt\/?p=58116"},"modified":"2026-03-16T09:27:44","modified_gmt":"2026-03-16T09:27:44","slug":"transmissao-vertical-do-vih-gravidez-parto","status":"publish","type":"post","link":"https:\/\/www.mediconanet.pt\/en\/transmissao-vertical-do-vih-gravidez-parto\/","title":{"rendered":"VIH e Sa\u00fade Reprodutiva: Gravidez, Amamenta\u00e7\u00e3o e Preven\u00e7\u00e3o da Transmiss\u00e3o Vertical"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"58116\" class=\"elementor elementor-58116\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-570cfe3 e-flex e-con-boxed e-con e-parent\" data-id=\"570cfe3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1761780 elementor-widget elementor-widget-text-editor\" data-id=\"1761780\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><b>Introdu\u00e7\u00e3o<\/b><\/h2><p><span style=\"font-weight: 400;\">A preven\u00e7\u00e3o da <\/span><b>transmiss\u00e3o vertical <\/b><b>do VIH<\/b><span style=\"font-weight: 400;\">\u00a0(m\u00e3e-filho) \u00e9 uma das maiores conquistas da medicina moderna, reduzindo a taxa de transmiss\u00e3o de mais de 25 % sem interven\u00e7\u00e3o para menos de 1 % com terap\u00eautica antirretroviral adequada, parto planeado e cuidados neonatais. A Organiza\u00e7\u00e3o Mundial de Sa\u00fade (OMS) estabeleceu a meta de elimina\u00e7\u00e3o da transmiss\u00e3o vertical do VIH como prioridade global.<\/span><\/p><p><span style=\"font-weight: 400;\">Em Portugal, a Dire\u00e7\u00e3o-Geral da Sa\u00fade (DGS) integra o rastreio do VIH nos cuidados pr\u00e9-natais obrigat\u00f3rios, garantindo diagn\u00f3stico precoce e acesso a tratamento. Compreender as estrat\u00e9gias de preven\u00e7\u00e3o da transmiss\u00e3o vertical \u00e9 fundamental para que mulheres possam planear e viver a maternidade com seguran\u00e7a sem preocupa\u00e7\u00e3o com a<\/span><b> transmiss\u00e3o vertical do VIH<\/b><span style=\"font-weight: 400;\">.<\/span><\/p><h2><b>Planeamento da Gravidez<\/b><\/h2><p><span style=\"font-weight: 400;\">As mulheres com VIH sob terap\u00eautica antirretroviral eficaz podem planear uma gravidez com seguran\u00e7a. O princ\u00edpio fundamental \u00e9 atingir e manter carga viral indetect\u00e1vel antes da conce\u00e7\u00e3o, durante toda a gravidez e no p\u00f3s-parto, reduzindo o risco de <\/span><b>transmiss\u00e3o vertical do VIH<\/b><span style=\"font-weight: 400;\"> a menos de 0,5 %.<\/span><\/p><p><span style=\"font-weight: 400;\">A consulta pr\u00e9-concecional em mulheres com VIH deve incluir otimiza\u00e7\u00e3o da TAR (com f\u00e1rmacos seguros na gravidez), avalia\u00e7\u00e3o da carga viral e contagem de CD4, rastreio de ISTs concomitantes, vacina\u00e7\u00e3o (hepatite B, HPV se eleg\u00edvel) e suplementa\u00e7\u00e3o com \u00e1cido f\u00f3lico.<\/span><\/p><p><span style=\"font-weight: 400;\">Em casais serodiscordantes (um parceiro VIH-positivo e outro VIH-negativo), a conce\u00e7\u00e3o natural \u00e9 segura quando o parceiro VIH-positivo tem carga viral indetect\u00e1vel sustentada (I=I). A British HIV Association (BHIVA) e a European AIDS Clinical Society (EACS) fornecem guidelines detalhadas para o planeamento reprodutivo em pessoas com VIH.<\/span><\/p><h2><b>Gest\u00e3o Durante a Gravidez e Parto<\/b><\/h2><p><span style=\"font-weight: 400;\">A TAR deve ser mantida ou iniciada imediatamente em todas as gr\u00e1vidas com VIH, independentemente da contagem de CD4. Os regimes preferidos incluem combina\u00e7\u00f5es com dolutegravir ou raltegravir, considerados seguros e eficazes durante a gesta\u00e7\u00e3o.<\/span><\/p><p><span style=\"font-weight: 400;\">A monitoriza\u00e7\u00e3o da carga viral durante a gravidez \u00e9 realizada a cada 4 a 8 semanas, com avalia\u00e7\u00e3o obrigat\u00f3ria \u00e0s 36 semanas para planeamento do tipo de parto. Quando a carga viral \u00e9 indetect\u00e1vel no final da gravidez, o parto vaginal \u00e9 seguro e recomendado.<\/span><\/p><p><span style=\"font-weight: 400;\">A cesariana eletiva \u00e0s 38 semanas \u00e9 indicada quando a carga viral permanece superior a 400 c\u00f3pias\/mL perto do parto, ou quando a carga viral \u00e9 desconhecida. O National Institute for Health and Care Excellence (NICE) do Reino Unido fornece protocolos detalhados para a gest\u00e3o obst\u00e9trica de mulheres com VIH.<\/span><\/p><h2><b>Amamenta\u00e7\u00e3o e Cuidados Neonatais<\/b><\/h2><p><span style=\"font-weight: 400;\">A quest\u00e3o da amamenta\u00e7\u00e3o em mulheres com possibilidade de\u00a0<\/span><a href=\"https:\/\/www.mediconanet.pt\/produto\/hiv\/\" target=\"_blank\" rel=\"noopener\"><strong>transmiss\u00e3o vertical do VIH<\/strong>\u00a0<\/a><span style=\"font-weight: 400;\">\u00e9 uma das mais debatidas nas guidelines internacionais. Em contextos de recursos elevados (Europa, Am\u00e9rica do Norte), a recomenda\u00e7\u00e3o cl\u00e1ssica \u00e9 a evic\u00e7\u00e3o da amamenta\u00e7\u00e3o para eliminar o risco residual de transmiss\u00e3o pelo leite materno.<\/span><\/p><p><span style=\"font-weight: 400;\">Contudo, a OMS reconhece que, com carga viral indetect\u00e1vel sustentada, o risco de transmiss\u00e3o pelo leite materno \u00e9 extremamente baixo (&lt; 1 %). A BHIVA atualizou as suas guidelines em 2023, permitindo a amamenta\u00e7\u00e3o em mulheres com VIH com carga viral indetect\u00e1vel, TAR est\u00e1vel e vigil\u00e2ncia refor\u00e7ada, caso a mulher deseje amamentar.<\/span><\/p><p><span style=\"font-weight: 400;\">O rec\u00e9m-nascido de m\u00e3e com VIH recebe profilaxia antirretroviral durante 2 a 4 semanas ap\u00f3s o nascimento. O teste de VIH neonatal \u00e9 realizado por PCR (n\u00e3o serologia) \u00e0s 0-2 semanas, 6-12 semanas e 3-4 meses. A confirma\u00e7\u00e3o de n\u00e3o-infe\u00e7\u00e3o permite encerrar o seguimento.<\/span><\/p><p><i><span style=\"font-weight: 400;\">Na M\u00e9dico na Net, a equipa cl\u00ednica oferece acompanhamento especializado de mulheres com VIH que desejam engravidar, com planeamento pr\u00e9-concecional, seguimento obst\u00e9trico e orienta\u00e7\u00e3o sobre amamenta\u00e7\u00e3o segura.<\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-375973d elementor-widget elementor-widget-image\" data-id=\"375973d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/wpimage-id893sizeSlugfulllinkDestinationnone-figure-classwp-block-image-size-fullimg-srchttpscomprarcbdonline.ptwp-contentuploads202603unnamed-3.jpg-altFrasco-de-vidro-transparente-c-12.jpg\" title=\"Consulta m\u00e9dica online sobre transmiss\u00e3o vertical do VIH\" alt=\"Mulher em consulta m\u00e9dica online com m\u00e9dico no computador durante esclarecimento sobre transmiss\u00e3o vertical do VIH\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1545e08 e-flex e-con-boxed e-con e-parent\" data-id=\"1545e08\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-9ad30cf e-con-full e-flex e-con e-child\" data-id=\"9ad30cf\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-66e4f21 e-con-full e-flex e-con e-child\" data-id=\"66e4f21\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c44ae3e elementor-widget elementor-widget-heading\" data-id=\"c44ae3e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perguntas frequentes (FAQ)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-439b5c3 elementor-widget elementor-widget-n-accordion\" data-id=\"439b5c3\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7080\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7080\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Posso ter filhos saud\u00e1veis se tenho VIH? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-d801294 e-con-full e-flex e-con e-child\" data-id=\"d801294\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7080\" class=\"elementor-element elementor-element-67dd609 e-flex e-con-boxed e-con e-child\" data-id=\"67dd609\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2204be5 elementor-widget elementor-widget-text-editor\" data-id=\"2204be5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sim. Com TAR eficaz e carga viral indetect\u00e1vel, o risco de transmiss\u00e3o ao beb\u00e9 \u00e9 inferior a 1 %. O planeamento com equipa m\u00e9dica especializada garante uma gravidez segura.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7081\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7081\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Posso amamentar se tenho VIH? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-f07e3ff e-con-full e-flex e-con e-child\" data-id=\"f07e3ff\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7081\" class=\"elementor-element elementor-element-ba0d7df e-flex e-con-boxed e-con e-child\" data-id=\"ba0d7df\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bd0918d elementor-widget elementor-widget-text-editor\" data-id=\"bd0918d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">As guidelines est\u00e3o a evoluir. Com carga viral indetect\u00e1vel e TAR est\u00e1vel, a amamenta\u00e7\u00e3o pode ser considerada com acompanhamento m\u00e9dico refor\u00e7ado. A decis\u00e3o deve ser individualizada e informada.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7082\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7082\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O meu parceiro pode ficar infetado durante a conce\u00e7\u00e3o? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-1948aa2 e-con-full e-flex e-con e-child\" data-id=\"1948aa2\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7082\" class=\"elementor-element elementor-element-44203e4 e-flex e-con-boxed e-con e-child\" data-id=\"44203e4\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90363e4 elementor-widget elementor-widget-text-editor\" data-id=\"90363e4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Se tem carga viral indetect\u00e1vel sustentada (I=I), o risco de transmiss\u00e3o sexual \u00e9 zero. A conce\u00e7\u00e3o natural \u00e9 segura nestas condi\u00e7\u00f5es, sem necessidade de t\u00e9cnicas de reprodu\u00e7\u00e3o assistida.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7083\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7083\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O rastreio de VIH na gravidez \u00e9 obrigat\u00f3rio em Portugal? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-e6b82d0 e-con-full e-flex e-con e-child\" data-id=\"e6b82d0\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7083\" class=\"elementor-element elementor-element-ff98332 e-flex e-con-boxed e-con e-child\" data-id=\"ff98332\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b745fb3 elementor-widget elementor-widget-text-editor\" data-id=\"b745fb3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sim. O rastreio de VIH \u00e9 oferecido a todas as gr\u00e1vidas no primeiro trimestre e repetido no terceiro trimestre, garantindo diagn\u00f3stico precoce e interven\u00e7\u00e3o atempada.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-7084\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-7084\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> O meu beb\u00e9 precisar\u00e1 de tomar medica\u00e7\u00e3o? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-7547615 e-con-full e-flex e-con e-child\" data-id=\"7547615\" data-element_type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-7084\" class=\"elementor-element elementor-element-8c9a957 e-flex e-con-boxed e-con e-child\" data-id=\"8c9a957\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f07efa elementor-widget elementor-widget-text-editor\" data-id=\"2f07efa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Sim. O rec\u00e9m-nascido recebe profilaxia antirretroviral durante 2 a 4 semanas ap\u00f3s o nascimento, como medida adicional de preven\u00e7\u00e3o. Testes de VIH confirmam a aus\u00eancia de infe\u00e7\u00e3o nos meses seguintes.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Posso ter filhos saud\\u00e1veis se tenho VIH?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. Com TAR eficaz e carga viral indetect\\u00e1vel, o risco de transmiss\\u00e3o ao beb\\u00e9 \\u00e9 inferior a 1 %. O planeamento com equipa m\\u00e9dica especializada garante uma gravidez segura.\"}},{\"@type\":\"Question\",\"name\":\"Posso amamentar se tenho VIH?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"As guidelines est\\u00e3o a evoluir. Com carga viral indetect\\u00e1vel e TAR est\\u00e1vel, a amamenta\\u00e7\\u00e3o pode ser considerada com acompanhamento m\\u00e9dico refor\\u00e7ado. A decis\\u00e3o deve ser individualizada e informada.\"}},{\"@type\":\"Question\",\"name\":\"O meu parceiro pode ficar infetado durante a conce\\u00e7\\u00e3o?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Se tem carga viral indetect\\u00e1vel sustentada (I=I), o risco de transmiss\\u00e3o sexual \\u00e9 zero. A conce\\u00e7\\u00e3o natural \\u00e9 segura nestas condi\\u00e7\\u00f5es, sem necessidade de t\\u00e9cnicas de reprodu\\u00e7\\u00e3o assistida.\"}},{\"@type\":\"Question\",\"name\":\"O rastreio de VIH na gravidez \\u00e9 obrigat\\u00f3rio em Portugal?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. O rastreio de VIH \\u00e9 oferecido a todas as gr\\u00e1vidas no primeiro trimestre e repetido no terceiro trimestre, garantindo diagn\\u00f3stico precoce e interven\\u00e7\\u00e3o atempada.\"}},{\"@type\":\"Question\",\"name\":\"O meu beb\\u00e9 precisar\\u00e1 de tomar medica\\u00e7\\u00e3o?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Sim. O rec\\u00e9m-nascido recebe profilaxia antirretroviral durante 2 a 4 semanas ap\\u00f3s o nascimento, como medida adicional de preven\\u00e7\\u00e3o. Testes de VIH confirmam a aus\\u00eancia de infe\\u00e7\\u00e3o nos meses seguintes.\"}}]}<\/script>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-02d7fba e-flex e-con-boxed e-con e-parent\" data-id=\"02d7fba\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca91313 elementor-widget elementor-widget-text-editor\" data-id=\"ca91313\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<h2><b>Conclus\u00e3o<\/b><\/h2>\n<span style=\"font-weight: 400;\">A preven\u00e7\u00e3o da <\/span><b>transmiss\u00e3o vertical do VIH <\/b><span style=\"font-weight: 400;\">\u00e9 altamente eficaz com TAR adequada, planeamento obst\u00e9trico e cuidados neonatais. As mulheres com VIH podem planear e viver a maternidade com seguran\u00e7a, beneficiando dos avan\u00e7os terap\u00eauticos que reduziram o risco de transmiss\u00e3o ao beb\u00e9 para menos de 1 %.<\/span>\n<h2><b>Refer\u00eancias<\/b><\/h2>\n<a href=\"https:\/\/bhiva.org\/file\/64787f0d6d90d\/BHIVA-Pregnancy-Guidelines-2023.pdf\" rel=\"dofollow noopener\" target=\"_blank\">BHIVA Guidelines for the Management of HIV in Pregnancy and Postpartum \u2014 British HIV Association<\/a>\n\n<a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240098343\" rel=\"dofollow noopener\" target=\"_blank\">Guideline on HIV and Infant Feeding \u2014 World Health Organization (WHO)<\/a>\n\n<a href=\"https:\/\/www.nice.org.uk\/guidance\/ng60\" rel=\"dofollow noopener\" target=\"_blank\">HIV testing: increasing uptake among people who may have undiagnosed HIV \u2014 including in pregnancy \u2014 National Institute for Health and Care Excellence (NICE)<\/a>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A preven\u00e7\u00e3o da transmiss\u00e3o vertical do VIH\u00a0(m\u00e3e-filho) \u00e9 uma das maiores conquistas da medicina moderna, reduzindo a taxa de transmiss\u00e3o de mais de 25 % sem interven\u00e7\u00e3o para menos de 1 % com terap\u00eautica antirretroviral adequada, parto planeado e cuidados neonatais. A Organiza\u00e7\u00e3o Mundial de Sa\u00fade (OMS) estabeleceu a meta de elimina\u00e7\u00e3o da transmiss\u00e3o [&hellip;]<\/p>\n","protected":false},"author":13102,"featured_media":58235,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[],"class_list":["post-58116","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude-sexual"],"jetpack_featured_media_url":"https:\/\/www.mediconanet.pt\/wp-content\/uploads\/2026\/03\/wpimage-id893sizeSlugfulllinkDestinationnone-figure-classwp-block-image-size-fullimg-srchttpscomprarcbdonline.ptwp-contentuploads202603unnamed-3.jpg-altFrasco-de-vidro-transparente-c-22.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/58116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/users\/13102"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/comments?post=58116"}],"version-history":[{"count":4,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/58116\/revisions"}],"predecessor-version":[{"id":58125,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/posts\/58116\/revisions\/58125"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media\/58235"}],"wp:attachment":[{"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/media?parent=58116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/categories?post=58116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mediconanet.pt\/en\/wp-json\/wp\/v2\/tags?post=58116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}