Clinical Care and Case Management of Pregnant Women Living with HIV Resources for Preconception through Postpartum Care

Pregnant women living with HIV (WLH) are a vulnerable population that requires enhanced, coordinated medical and psychosocial care. This webpage brings together a range of resources about meeting the special reproductive health and healthcare needs of pregnant women living with HIV from preconception through postpartum. The resources below illustrate how perinatal services can be organized and delivered.

Resources

Organization of Services for Pregnant Women Living with HIV in a Jurisdiction

• CDC’s Elimination of Perinatal HIV Comprehensive Working Group: Essential Elements of Perinatal HIV Service Coordination  
• CDC’s Elimination of Perinatal HIV Comprehensive Working Group: Perinatal HIV Services Coordination: Closing Gaps in the HIV Care Continuum for Pregnant Women and Eliminating Perinatal HIV Transmission Webinar

HIV Testing and Counseling of Pregnant Women

• The CDC: Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings
• The CDC: Routine early prenatal, third trimester, and screening in labor and delivery should follow the CDC’s updated diagnostic algorithm
• ACOG: Routine HIV Screening Guidelines.
• Clinician Consultation Center: Compendium of State HIV Testing Laws
• CDC’s Elimination of Perinatal HIV Real Time Case Finding Working Group: HIV Testing Recommendations for Women: An Important Step to Achieve Perinatal Elimination Webinar
• Washington State Department of Health: Screening and Management of Maternal HIV Infection: Implications for Mother and Infant

top of page

Preconception/Interconception Care of Women Living with HIV

• HHS Panel on Treatment of HIV-Infected Pregnant Women and Prevention of Perinatal Transmission: 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  
• CDC and the U.S. Office of Population Affairs: Providing Quality Family Planning Services
• CDC: Preconception Care Toolkit
• National Preconception Health and Health Care Initiative: Before, Between & Beyond
• ACOG: Clinical Content of Preconception Care
• ACOG: Gynecologic Care for Women and Adolescents with Human Immunodeficiency Virus
• The March of Dimes: Before or Between Pregnancies
• The CDC: Preconception Care and Health Care Resource Center
• The Society of Obstetricians and Gynecologists of Canada: Canadian HIV Pregnancy Planning Guidelines
• CDC’s Expert Panel on Preconception and Reproductive Health: Reproductive Health and HIV: Preconception Care, Family Planning & Safer Conception for HIV-Discordant Couples Webinar
• AETC National Coordinating Resource Center: How to Locate a Family Planning Clinic or Ryan White Clinic
• HIVE: Engaging HIV+ Men in Reproductive Topics

top of page

Comprehensive Management of the Pregnant Woman Living with HIV

Preceptorship Modules

Perinatal Guidelines Resources

• HHS Panel on Treatment of HIV-Infected Pregnant Women and Prevention of Perinatal Transmission: 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
• François-Xavier Bagnoud Center: Guidelines for the Use of Antiretroviral Therapy in Pregnancy
• François-Xavier Bagnoud Center:What Women Need to Know

Clinician Tools for HIV + Pregnant Women

• Washington State Department of Health: Guidelines for Management of HIV+ Pregnant Women Birthing in Washington State Hospitals Prenatal Provider Checklist
• Dartmouth-Hitchcock Family HIV Program: Checklist for Care of HIV+ Pregnant Women
• Children’s Hospitals and Clinics of Minnesota: Perinatal HIV Service Delivery Plan
• The Family Health Center of Worcester: Delivery Plan for Pregnant Women Living with HIV
• The University of Miami: Standard Operating Procedure: OB/GYN Prenatal Immunology Clinic
• The University of Miami: Standard Operating Procedure OB/GYN Care of Addicted Pregnant Women
• The University of Miami: Standard Operating Procedure: OB/GYN Centering Program
• HIVE: Antepartum Care Template
• HIVE: Antepartum Provider Orders
• HIVE: Intrapartum Provider Orders
• HIVE: Orders for Maternal Postpartum Care

top of page

Tools for Infant Prophylaxis and HIV Prevention

• Fairview Health Services: Orders for HIV-exposed infant prophylaxis
• The University of Miami: Standard Operating Procedure Pediatric Screening Protocol - Infant
• The University of Miami: Standard Operating Procedure Pediatric Screening Clinic – Mother/Baby Care
• The University of Miami: Pediatric Screening Guidelines
• HIVE: Orders for Infant HIV Prophylaxis
• HIVE: Breastfeeding Protocol for Mothers Whose Sex Partner is HIV+

Tools for Clinical Care of Pregnant Women at Risk for HIV

• HIVE: PrEP Essentials Pocket Card
• HIVE: SOAP Note for the Prenatal care of HIV-Negative Women with HIV-Positive Sex Partners

International Resources

Canadian resources regarding clinical care during pregnancy and postpartum are available for reference, however, these tools may require adaptation for US treatment guidelines.

• The Society of Obstetricians and Gynecologist of Canada: Guidelines for the Care of Pregnant Women Living With HIV and Interventions to Reduce Perinatal Transmission
• Alberta Health Services and Covenant Health: Protocol for the Prevention of Perinatal HIV Transmission
• BC Women’s Hospital and Heath Centre: Management of Women and Infants in the Intrapartum Period

Case Management During Pregnancy and Postpartum

• CDC’s Elimination of Perinatal HIV Comprehensive Care Working Group: Assessment Tool: Creating a Safety Net to Enhance Postpartum Retention In HIV Care
• The Michigan Department of Community Health: Suggested Guidelines for HIV Case Management for Pregnant Women in Michigan
• Florida Department of Health in Miami-Dade County: Perinatal HIV Services
• Florida Department of Health in Miami-Dade County: High-Risk Pregnancy Notification Form
• The Family Health Center of Worcester: MCH Service Care Protocol for HIV+ Pregnancies
• PACPI: Pediatric AIDS Chicago Prevention Initiative (PACPI) Standard Operating Procedures
• François-Xavier Bagnoud Center: Take Care of Yourself and Your Family After Your Baby is Born

top of page