Special Considerations in the Management of Women With HIV, Including Management of Conception and Pregnancy

  • Author: Kristine Patterson, MD (More Info)
  • Section Editor: Judith S. Currier, MD, MSc
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 7/5/18 (What's New)

Summary

  • Because primary care physicians will provide an increasing amount of care for women with HIV over time, they will need to become more knowledgeable of critical management considerations when treating HIV-infected women and more comfortable determining when specialty consultation is needed
  • Routine clinical care for women with HIV should include immunizations, cardiovascular disease risk assessment, psychosocial assessment, and screening for tuberculosis, breast cancer, depression, STDs, cervical cancer, and anal cancer
  • The US Department of Health and Human Services adult antiretroviral therapy guidelines recommend that all HIV-infected persons—including those diagnosed with HIV infection during pregnancy—initiate antiretroviral therapy regardless of CD4+ cell count to prevent sexual transmission of HIV in addition to preventing disease progression in the individual (Management Guidelines)[DHHS ART] In pregnant women, decreasing viral replication to the undetectable level may serve to also decrease transplacental or perinatal transmission to the infant

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