The Canadian HIV Pregnancy Planning Guidelines: What Pregnancy Care Providers Need to Know About HIV Transmission and Pre-Conception Considerations |
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| Authors: | Chelsea Elwood V. Logan Kennedy Mona Loutfy Vanessa Poliquin Isabelle Boucoiran Mark H. Yudin |
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| Affiliation: | 1. Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC;2. Women''s Health Research Institute, BC Women''s Hospital, Vancouver, BC;3. Women''s College Research Institute, Women''s College Hospital, Toronto, ON;4. Department of Medicine, University of Toronto, Toronto, ON;5. Department of Obstetrics, Gynaecology and Reproductive Sciences, University of Manitoba, Winnipeg, MB;6. Department of Obstetrics and Gynecology, Université de Montréal, Montréal, QC;7. Department of Social and Preventive Medicine, Université de Montréal, Montréal, QC;8. Women and Children Infectious Disease Centre, CHU Sainte-Justine, Montréal, QC;9. Department of Obstetrics and Gynecology, St. Michael''s Hospital, Toronto, ON;10. Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON;1. Department of Obstetrics and Gynecology, McGill University, Montréal, QC;2. Department of Urology, McGill University, Montréal, QC;1. Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON;2. Department of Family Medicine, McMaster University, Hamilton, ON;3. New Leaf Psychology Centre, Milton, ON;4. Eating Disorders Program at Homewood Health Centre, Guelph, ON;5. Ray D. Wolfe Department of Family Medicine, Mount Sinai Hospital, Toronto, ON;6. School of Nursing, McMaster University, Hamilton, ON;7. Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, ON;8. Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON;9. Department of Health Research Methods, Evidence & Impact, McMaster University, Hamilton, ON;10. Department of Radiology, McMaster University, Hamilton, ON;1. Cleveland Clinic Women''s Health Institute, Cleveland, OH;2. Case Western Reserve University School of Medicine, Cleveland, OH;1. Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, McMaster University, Hamilton, ON;2. Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON;3. Department of Radiology, McMaster University, Hamilton, ON;4. Department of Obstetrics & Gynecology, McMaster University, Hamilton, ON;5. Canadian Premature Babies Foundation, Toronto, ON;6. Department of Pediatrics, Mount Sinai Hospital and University of Toronto, Toronto, ON;7. Department of Newborn and Developmental Paediatrics, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON;8. Division of Neonatology, Foothills Medical Centre, Calgary, AB;9. Department of Obstetrics and Gynaecology, Mount Sinai Hospital and University of Toronto, Toronto, ON;1. Department of Medicine, McGill University Health Centre, Montréal, QC;2. Department of Obstetrics and Gynaecology, McGill University Health Centre, Montréal, QC;3. Department of Pharmacy, McGill University Health Centre, Montréal, QC;4. Research Institute of the McGill University Health Centre, Montréal, QC;1. Department of Obstetrics and Gynaecology, Schulich School of Medicine and Dentistry, Western University, London, ON;2. Division of Maternal Fetal Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON;3. Department of Pathology and Laboratory Medicine, Western University, London, ON;4. Department of Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON;5. Department of Obstetrics and Gynaecology, Stratford General Hospital, Stratford, ON;6. Children''s Health Research Institute, London, ON |
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| Abstract: | ![]()
Today, under ideal conditions with combination antiretroviral therapy (cART), HIV is a chronic illness with a normal life expectancy. As such, people with HIV are pursuing experiences that once escaped them, such as parenthood. One of the most important factors in reducing perinatal HIV transmission was, and still is, adequate planning. And pregnancy planning has a few additional implications for people affected by HIV, not unlike for people with other chronic illnesses. In 2018, the updated Canadian HIV Pregnancy Planning Guidelines (CHPPGs) were published with 36 recommendations. To help pregnancy care providers use the CHPPGs in pregnancy planning counselling for people living with HIV and their partners, this paper summarizes 5 key considerations in the modern era of HIV management. |
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