Updates in the Management of HIV During Pregnancy

被引:0
作者
Benson, Jemma [1 ]
Pierre, Cassandra [1 ]
Joseph, Naima T. [2 ]
机构
[1] Boston Univ, Sch Med, Dept Med, Div Infect Dis, Boston, MA 02118 USA
[2] Boston Univ, Sch Med, Boston Med Ctr, Dept Obstet & Gynecol,Div Maternal Fetal Med, Boston, MA 02215 USA
关键词
HIV; pregnancy; breastfeeding; IMMUNODEFICIENCY-VIRUS TYPE-1; OPEN-LABEL; TRANSMISSION; SETTINGS; ADULTS; WOMEN; RISK;
D O I
10.1097/GRF.0000000000000887
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Human immunodeficiency virus in pregnant people remains a significant public health issue worldwide. The rate of perinatal transmission is 15% to 40% but can be decreased to less than 1% with appropriate antenatal management. Previous recommendations included a protease inhibitor-based antiretroviral therapy, infant prophylaxis, performance of cesarean section for uncontrolled viremia, and the use of formula for infant feeding. However, recent updates include first line of integrase inhibitor-based regimens and supporting parental choices for safe lactation. In this review, we summarize and provide updated recommendations for the care of people living with human immunodeficiency virus during pregnancy.
引用
收藏
页码:644 / 651
页数:8
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