c/o University of Zimbabwe Clinical Trials Research Centre, 15 Phillips Avenue, Belgravia, Harare, Zimbabwe.
Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, 12850 E. Montview Boulevard, Mail Stop C238, Aurora, CO, USA. Electronic address: https://twitter.com/KMB_PharmD.
Clin Perinatol. 2024 Dec;51(4):749-767. doi: 10.1016/j.clp.2024.08.010.
Managing human immunodeficiency virus (HIV) during pregnancy requires attention to psychosocial aspects of maternal health in addition to providing medical and obstetric care. Ideal care plans promote sustained HIV suppression and optimize maternal health prior to conception. Engagement with maternity services creates opportunities to support women with HIV to remain engaged in life-long care, monitor their health frequently, screen for co-morbid conditions, and develop a personalized antiretroviral therapy adherence strategy. This article summarizes antiretroviral drug use in pregnancy, pregnancy outcomes in women with HIV, and the key elements of providing holistic care.
管理妊娠期间的人类免疫缺陷病毒(HIV)需要关注母婴健康的社会心理方面,除了提供医疗和产科护理外。理想的护理计划可促进 HIV 的持续抑制,并在受孕前优化母婴健康。与产妇服务机构合作可提供机会,支持 HIV 感染者继续参与终身护理,定期监测其健康状况,筛查合并症,并制定个性化的抗逆转录病毒治疗依从性策略。本文总结了妊娠期间抗逆转录病毒药物的使用、HIV 感染者的妊娠结局以及提供全面护理的关键要素。