HIV viral load More frequent HIV viral load monitoring is recommended in pregnant women with HIV infection to ensure rapid and sustained virological suppression has been achieved. HIV viral load should be assessed at the initial visit, 2 – 4 weeks after initiating or changing ART, monthly until undetectable, and at least 3 monthly thereafter. …
Monitoring of HIV-infected women during pregnancy Read More »
Patients with HIV who desire or have indications for diagnostic testing during pregnancy (e.g., abnormal ultrasound or aneuploidy screening) should be counselled about the potential risk of perinatal HIV transmission, along with other risks of the procedure, so that they can make informed decisions about invasive testing. Although the data on women who are receiving …
It is vital to involve a paediatric multidisciplinary team before the birth of the infant. The team, consisting of a paediatrician, nursing staff, social worker, and dietitian, will support the mother and family in many ways, including the following: Counselling and support of the mother and her partner during pregnancy and after delivery of the …
Consultations concerning HIV and pregnancy issues may involve serodiscordant couples or, less often, seroconcordant couples. For these couples, referral to an HIV Specialist for expert consultation is recommended. In brief, recent studies have provided evidence of the effectiveness of ART in preventing sexual transmission of HIV, i.e., treatment as prevention (HPTN 052 and Partner Study).[45, …
Reproductive options for HIV seroconcordant and serodiscordant couples Read More »
Case Study 1 Agnes is a 28-year-old woman from South Africa. She arrived in Australia 6 months ago and has no family supports. She is diagnosed as having HIV infection and she is also 10 weeks pregnant. She is non-Medicare eligible at this time. Initial investigations indicate a CD4+ T cell count of 190/μL and …
http://www.APRegistry.com Antiretroviral Pregnancy Register maintains an up-to-date registry of antiretroviral drug exposure during pregnancy. http://aidsinfo.nih.gov/guidelines Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women for Maternal Health and Interventions to Reduce Perinatal HIV Transmission in the United States. Family Planning NSW: Contraception: an Australian clinical practice handbook. 4th edition; 2016. MotherSafe http://www.mothersafe.org.au Counselling service for …
The Kirby Institute. HIV, viral hepatitis and sexually transmissible infections in Australia. Annual Surveillance Report 2023. Sydney; The Kirby Institute, UNSW: 2023. 2014 National HIV Testing Policy. v1.0. Available at http://testingportal.ashm.org.au/resources/2014_National_HIV_Testing_Policy_v1.pdf (last accessed 10 August 2016). Hoyt MJ, Storm DS, Aaron E, Anderson J. Preconception and contraceptive care for women living with HIV. Infect Dis …
Developing a sustainable HIV, Viral Hepatitis and Sexual Health Workforce
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