Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

2 results

  • Case 38 - A 30-Year-Old at 10 Weeks’ Gestation with a New Positive HIV Test

  • from Section 4 - Antepartum (Medical Complications)
  • Edited by Peter F. Schnatz, The Reading Hospital, Pennsylvania, D. Yvette LaCoursiere, University of California, San Diego, Christopher M. Morosky, University of Connecticut School of Medicine, Jonathan Schaffir, The Ohio State University College of Medicine, Vanessa Torbenson, Mayo Clinic Alix School of Medicine, David Chelmow, Virginia Commonwealth School of Medicine
  • Book:
    Pregnancy Complications
    Published online:
    08 April 2025
    Print publication:
    01 May 2025, pp 115-118

  • Summary

    Caring for patient with HIV in pregnancy requires additional compassion and attention to recent developments. The CDC maintains a website with up-to-date recommendations to guide care. Prognosis for women with HIV in pregnancy is good, with a vertical transmission rate of 0.09% if viral load was <50 copies/mL. In those successfully achieving an undetectable HIV RNA by 36 weeks, cesarean delivery has not been shown to further reduce the vertical transmission risk. Delivery timing for patients with HIV and an undetectable HIV RNA should be per usual obstetric indications and timing. However, if the HIV RNA is >1,000 copies/mL, cesarean delivery prior to labor is performed at 38 weeks. HIV RNA that is detectable, but <1,000 copies/mL should raise concern that there are issues with compliance and patient counseling and repeat testing before 38 weeks should be considered. Oral antiviral medications are continued throughout labor and delivery. Adding intravenous zidovudine at least 3 hours prior to delivery (2 mg/kg load over first hour, then 1 mg/kg/hour until delivery) for patients with HIV RNA >1,000 copies/mL further reduces the risk of transmission. In HIV discordant couples, condoms are recommended during pregnancy. If viral suppression is unable to be maintained, a partner’s HIV status is unknown, or condoms are not able to be negotiated, consider the addition of preexposure prophylaxis with tenofovir/emtricitabine.

  • The importance of mental and sexual health in addressing people with hiv - the double stigma

  • S. Nascimento, M. Gonçalves
  • Journal:
    European Psychiatry / Volume 64 / Issue S1 / April 2021
    Published online by Cambridge University Press:
    13 August 2021, p. S551
    • Article
      • You have access
      • Open access
    • PDF
    • Export citation
  • Introduction

    Having a mental disorder is associated with increased vulnerability to the transmission of the Human Immunodeficiency Virus (HIV) and the prevalence of HIV is higher in people with a severe mental disorder. People with psychiatric comorbidities such as bipolar affective disorder and depressive disorder, post-traumatic stress disorder (physical or sexual abuse) and/or psychoactive substance use have a higher risk of HIV infection.

    Objectives

    This work is intended to expose the importance of integrating mental health care with the care of HIV patients.

    Methods

    The authors conducted a non-systematic review of the literature, conducting research through Pubmed and Medscape using the keywords ‘Preexposure prophylaxis’, ‘HIV’, ‘Mental health problems’.

    Results

    Several factors may contribute to the high comorbidity between HIV and Mental Disorders, including socio-demographic factors, weak social and environmental structures, as well as internalized stigma, social and experienced discrimination. Mental health problems may interfere with the care needed for prevention, including regular HIV testing and/or adherence to Preexposure Prophylaxis (PrEP); and influence access to and adherence to antiretroviral treatment.

    Conclusions

    This compelling evidence makes the necessary contribution of integrating mental health into an assessment and continuous treatment of the HIV patient, on the other hand, the assessment and treatment of mental disorders should address sexual health.