HIV Management Guidelines

HIV Management Guidelines

Special Patient Populations

Management > Special Patient Populations > Paediatric referral

Paediatric referral

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 baby
  • Providing information on the strategies to prevent mother-to-child transmission
  • Providing an outline of the necessary testing schedule of the infant, up to 18 months of age, and the tests to be undertaken – HIV antibody together with HIV DNA (proviral) PCR or HIV RNA PCR [43 – 44]
  • Providing information and support regarding antiretroviral drug use for the baby after birth
  • Recommendation regarding not breastfeeding. Not being able to breastfeed can be very confronting for many mothers in many cultures, and support by the paediatric team is invaluable in assisting with this issue
  • Providing information regarding vaccination of the baby after birth. Routine vaccinations should be given to all babies according to the Australian Immunisation Schedule
  • Developing a Care Plan of antenatal and postnatal management, always in consultation with the mother, to assist all health providers involved in care – HIV physician, obstetrician, general practitioner, and the delivery suite
  • Providing ongoing care and support to the infants who are newly diagnosed with HIV infection. Paediatric care and support will continue into adolescence and will include, but not be limited to, Camp Goodtime and preparing the way for children to negotiate school commencement confidentially.
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