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Get the free DHMC Perinatal HIV Program Checklist for Care of HIV+ Pregnant Women

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A comprehensive checklist designed for healthcare providers to facilitate coordinated care for pregnant women living with HIV, addressing their medical needs, counseling, and prevention of perinatal
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How to fill out DHMC Perinatal HIV Program Checklist for Care of HIV+ Pregnant Women

01
Gather the patient's medical history, including any previous HIV treatment and pregnancy information.
02
Verify the patient's HIV status and ensure that all relevant laboratory test results are available.
03
Complete sections related to the patient's current health including CD4 count and viral load.
04
Document any medications the patient is currently taking, especially antiretroviral therapy.
05
Assess the patient's psychosocial needs and make notes on support systems in place.
06
Fill out sections regarding the baby's health, including any prenatal appointments and their outcomes.
07
Review and check any necessary referrals for additional care services.
08
Ensure all sections of the checklist are signed and dated by the healthcare provider.

Who needs DHMC Perinatal HIV Program Checklist for Care of HIV+ Pregnant Women?

01
Healthcare providers involved in the care of pregnant women living with HIV.
02
Perinatal clinics that specialize in HIV care.
03
Public health agencies overseeing maternal and child health services.
04
Support staff in hospitals and clinics that provide prenatal care.
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If you are pregnant, you should have a routine test for HIV during your first prenatal care visit. If you are at an increased risk of HIV infection, you should be retested in the third trimester of pregnancy, ideally before 36 weeks of pregnancy.
Repeat HIV testing in the third trimester, preferably before 36 weeks of gestation, is recommended for pregnant women with initial negative HIV antibody tests who are known to be at high risk of acquiring HIV infection; who are receiving care in facilities that have an HIV incidence in pregnant women of at least 1 per
What ART regimen to initiate. In pregnant women in need of ART for their own health the preferred first-line ART regimen should include an AZT + 3TC backbone combined with an NNRTI: AZT + 3TC + NVP or AZT + 3TC + EFV. Alternative recommended regimens are TDF + 3TC (or FTC) + EFV and TDF + 3TC (or FTC) + NVP.
Although HIV can be transmitted through breastfeeding, taking HIV medicines and having an undetectable viral load during pregnancy and throughout breastfeeding lower the risk of passing HIV to less than 1%. Pregnant women with HIV should talk to their health care provider about options for feeding their baby.
Overview. All pregnant people with HIV should initiate antiretroviral therapy (ART) as early in pregnancy as possible, regardless of their HIV RNA level or CD4 T lymphocyte cell count, to maximize their health and prevent perinatal HIV transmission and sexual transmission (AI).
All pregnant women with HIV should take HIV medicines throughout pregnancy for their own health, to prevent perinatal transmission of HIV to the baby, and to prevent HIV transmission to sexual partners. (HIV medicines are called antiretrovirals).
The pregnant person should be receiving an effective antiretroviral (ARV) regimen and, ideally, have HIV RNA levels that are undetectable (BIII). If a pregnant person with detectable HIV RNA levels requires amniocentesis, consultation with an expert in the management of HIV during pregnancy should be considered (BIII).

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The DHMC Perinatal HIV Program Checklist for Care of HIV+ Pregnant Women is a documentation tool used to ensure that appropriate care and interventions are provided for pregnant women living with HIV, focusing on both maternal health and prevention of HIV transmission to the infant.
Healthcare providers who are involved in the prenatal care of HIV+ pregnant women are required to file the DHMC Perinatal HIV Program Checklist to ensure compliance with guidelines and to facilitate coordinated care.
The DHMC Perinatal HIV Program Checklist should be filled out by completing each section based on the specific care steps taken, including documentation of HIV treatment adherence, laboratory tests performed, and referrals made to specialists, ensuring that all relevant information is accurately recorded.
The purpose of the checklist is to provide a structured approach to managing the health of HIV+ pregnant women, ensuring that they receive comprehensive care, that their treatment is effective, and that the risk of HIV transmission to the infant is minimized.
The checklist must report information including the patient's HIV status, antiretroviral therapy adherence, immunologic and virologic status, any complications during pregnancy, screening results, and referrals made to other healthcare services.
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