Format

Send to

Choose Destination
Infect Dis Obstet Gynecol. 2016;2016:7594306. doi: 10.1155/2016/7594306. Epub 2016 Jul 18.

Management of HIV Infection during Pregnancy in the United States: Updated Evidence-Based Recommendations and Future Potential Practices.

Author information

1
School of Medicine, Department of Gynecology and Obstetrics, Division of Maternal Fetal Medicine and Reproductive Infectious Diseases, Emory University, 550 Peachtree Street, Atlanta, GA 30308, USA.
2
School of Medicine, Department of Gynecology and Obstetrics, Division of Family Planning, Emory University, 550 Peachtree Street, Atlanta, GA 30308, USA.
3
School of Medicine, Department of Gynecology and Obstetrics, Division of Maternal Fetal Medicine, Emory University, 550 Peachtree Street, Atlanta, GA 30308, USA.
4
School of Medicine, Department of Pediatrics, Division of Infectious Diseases, Emory University, 2015 Uppergate Drive, NE, Atlanta, GA 30322, USA.

Abstract

All HIV-infected women contemplating pregnancy should initiate combination antiretroviral therapy (cART), with a goal to achieve a maternal serum HIV RNA viral load beneath the laboratory level of detection prior to conceiving, as well as throughout their pregnancy. Successfully identifying HIV infection during pregnancy through screening tests is essential in order to prevent in utero and intrapartum transmission of HIV. Perinatal HIV transmission can be less than 1% when effective cART, associated with virologic suppression of HIV, is given during the ante-, intra-, and postpartum periods. Perinatal HIV guidelines, developed by organizations such as the World Health Organization, American College of Obstetricians and Gynecologists, and the US Department of Health and Human Services, are constantly evolving, and hence the aim of our review is to provide a useful concise review for medical providers caring for HIV-infected pregnant women, summarizing the latest and current recommendations in the United States.

PMID:
27504071
PMCID:
PMC4967680
DOI:
10.1155/2016/7594306
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Hindawi Limited Icon for PubMed Central
Loading ...
Support Center