Home Birth in the Era of COVID-19: Counseling and Preparation for Pregnant Persons Living with HIV

被引：9

作者：

Premkumar, Ashish ^{[1
]}

Cassimatis, Irina ^{[1
]}

Berhie, Saba H. ^{[1
]}

Jao, Jennifer ^{[2
,3
]}

Cohn, Susan E. ^{[3
]}

Sutton, Sarah H. ^{[3
]}

Condron, Brianne ^{[1
]}

Levesque, Jordan ^{[1
]}

Garcia, Patricia M. ^{[1
]}

Miller, Emily S. ^{[1
]}

Yee, Lynn M. ^{[1
]}

机构：

[1] Northwestern Univ, Feinberg Sch Med, Dept Obstet & Gynecol, Chicago, IL 60611 USA

[2] Northwestern Univ, Dept Pediat, Feinberg Sch Med, Chicago, IL 60611 USA

[3] Northwestern Univ, Feinberg Sch Med, Dept Internal Med, Chicago, IL 60611 USA

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 2020年 / 37卷 / 10期

关键词：

out-of-hospital birth; HIV; perinatal transmission; COVID-19; IMMUNODEFICIENCY-VIRUS TYPE-1; VIRAL LOAD; TRANSMISSION; RISK; ZIDOVUDINE; WOMEN; PREVENTION; REDUCTION; DELIVERY; MOTHERS;

D O I：

10.1055/s-0040-1712513

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

With the coronavirus disease 2019 (COVID-19) pandemic in the United States, a majority of states have instituted "shelter-in-place" policies effectively quarantining individuals-including pregnant persons-in their homes. Given the concern for COVID-19 acquisition in health care settings, pregnant persons with high-risk pregnancies-such as persons living with HIV (PLHIV)-are increasingly investigating the option of a home birth. Although we strongly recommend hospital birth for PLHIV, we discuss our experience and recommendations for counseling and preparation of pregnant PLHIV who may be considering home birth or at risk for unintentional home birth due to the pandemic. We also discuss issues associated with implementing a risk mitigation strategy involving high-risk births occurring at home during a pandemic.

引用

页码：1038 / 1043

页数：6

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