Pregnancy

Pregnancy
Pregnancy increases the risk of a woman acquiring HIV, and seroconversion during pregnancy increases the risk of perinatal HIV transmission. In the United States, it is estimated that between 8,000 – 9,000 HIV-positive women give birth each year. The number of perinatal HIV transmissions has dramatically declined from 1,750 per year in the mid-1990s to 143 in 2010. The CCC can help you advance this work.

We help you help patients prevent HIV transmission during pregnancy

Supporting HIV-negative women with HIV-positive male partners in preventing sexual transmission is an important part of ending perinatal HIV transmissions in the U.S. Perinatal HIV Hotline specialists provide consultation on a range of perinatal HIV issues such as indeterminate HIV tests during pregnancy, high-risk HIV exposures, and emergent labor and delivery scenarios. Our Perinatal HIV Clinician Network helps you connect patients with appropriate providers nationwide.

We work with you to eliminate perinatal HIV transmission

Several interventions, such as routine HIV screening during pregnancy, maximizing maternal health and lowering the viral load during pregnancy, antiretroviral prophylaxis to the infant, and avoiding breastfeeding, are credited with the dramatic drop in perinatal HIV transmission in the last two decades. The CCC helps you advance this public health success story with expert consultation and clinician-developed tools.

We provide guidance on managing pediatric PEP

The CDC released updated non-occupational PEP guidelines in April, 2016. Regimen selection and dosing information for non-perinatally exposed infants, children, and adolescents (e.g. found needles) can be found in Tables 5 and 6 on pages 31-37 of the guidelines. The CCC is updating its guidance on management of pediatric PEP outside of the perinatal period to reflect information provided by these updated guidelines. In the meantime, clinicians may continue to call the CCC for PEP consultation at 888-448-4911.

Resources

  • Strategies for the Care of Neonates at Higher Risk of Perinatal HIV Transmission | CCC Statement
    Open PDF Open PDF | From the CCC
  • Women and PrEP: Pregnancy, Breastfeeding, Implementation | CCC CROI 2013 Round Table
    Open PDF Open PDF | From the CCC
  • Informed Choice Breastfeeding in a Resource-Rich Setting | CCC CROI 2012 discussion
    Open PDF Open PDF
  • Informed Choice Breastfeeding in a Resource-Rich Setting | CCC CROI 2012 discussion slides
    Open PDF Open PDF

Helpful Links

  • American College of Obstetricians and Gynecologists (ACOG)
    Visit website
  • HIVE (formerly Bay Area Perinatal AIDS Center)
    Visit website