naa a22 4500 510735487 CHVBK 20180411083008.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11904-013-0172-x doi (NATIONALLICENCE)springer-10.1007/s11904-013-0172-x Reproductive and Maternal Healthcare Needs of HIV Infected Women [Elektronische Daten] [Deborah Jones, Nahida Chakhtoura, Ryan Cook] Advances in HIV treatment and prevention of mother to child transmission have effectively reduced mortality and morbidity for women living with HIV and significantly reduced new infections in infants. Women living with HIV require comprehensive, integrated clinical services to address their reproductive and maternal healthcare needs. Guidelines for safer conception counseling with fertile couples recommend discussing fertility and childbearing, addressing contraception with those not wishing to conceive, and clarification of strategies to conceive for those wishing to do so. Services pre-conception to postpartum should emphasize HIV testing for mother, partner and infant, encourage the maintenance of medication adherence and promote engagement and retention in care, and ensure supportive and non-judgmental patient education by healthcare providers. Behavioral, psychosocial and healthcare factors can have profound effects on pregnancy outcomes, and male involvement and enhanced provider involvement throughout the reproductive process has been recommended to reduce transmission and enhance medication adherence and uptake. Springer Science+Business Media New York, 2013 Pregnancy nationallicence HIV nationallicence Women nationallicence Fertility nationallicence Family planning nationallicence Behavioral aspects of HIV management nationallicence Pre-conception nationallicence Conception counseling nationallicence Jones Deborah Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136, Miami, FL, USA aut Chakhtoura Nahida Department of Obstetrics & Gynecology, University of Miami Miller School of Medicine, University Miami Hospital, 1400 NW 12th Ave. Suite 4113, 33136, Miami, FL, USA aut Cook Ryan Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136, Miami, FL, USA aut Current HIV/AIDS Reports Springer US; http://www.springer-ny.com 10/4(2013-12-01), 333-341 1548-3568 10:4<333 2013 10 11904 https://doi.org/10.1007/s11904-013-0172-x text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11904-013-0172-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jones Deborah Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136, Miami, FL, USA aut NATIONALLICENCE 700 1- Chakhtoura Nahida Department of Obstetrics & Gynecology, University of Miami Miller School of Medicine, University Miami Hospital, 1400 NW 12th Ave. Suite 4113, 33136, Miami, FL, USA aut NATIONALLICENCE 700 1- Cook Ryan Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Ave., 33136, Miami, FL, USA aut NATIONALLICENCE 773 0- Current HIV/AIDS Reports Springer US; http://www.springer-ny.com 10/4(2013-12-01), 333-341 1548-3568 10:4<333 2013 10 11904 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer