Delivery considerations for a pregnant mother with HIV

Learn about: Delivery considerations for a pregnant mother with HIV from David Miller, MD,...
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Delivery considerations for a pregnant mother with HIV

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What should an expectant mother do who is HIV positive to avoid passing the virus to her newborn? Probably the most important thing to do is to know her HIV status, and if positive, to make sure that she seeks treatment from clinicians, and in a setting with extensive experience in the management of HIV during pregnancy. There are many different medications for the treatment of HIV, and there are many different considerations with respect to the delivery location, the delivery timing, the delivery method, not to mention the diagnosis and treatment of the newborn after birth. Again, the most important factor in the management of HIV in pregnancy is the experience of the team caring for the pregnant patient. For example, the USC program for HIV in pregnancy, run by my colleague, Alice Stek, has zero percent vertical transmission of HIV from mother to baby.

Learn about: Delivery considerations for a pregnant mother with HIV from David Miller, MD,...

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David Miller, MD

Chief of Maternal Fetal Medicine, Children's Hospital Los Angeles

David A. Miller, MD, is Professor of Obstetrics, Gynecology, and Pediatrics at the Keck School of Medicine of the University of Southern California and Children's Hospital Los Angeles.  He is the Chief of Maternal Fetal Medicine at Children’s Hospital Los Angeles and the Director of the CHLA-USC Institute for Maternal Fetal Health, a unique alliance of medical leaders from Children's Hospital Los Angeles and USC, specializing in interdisciplinary diagnosis and treatment of complex fetal abnormalities.  Dr. Miller graduated from USC, attended medical school at the University of Arkansas, did his internship and residency at Vanderbilt University Medical Center and came back to USC for fellowship training in Maternal-Fetal Medicine (Perinatology).  He has been a researcher, clinician and educator at USC for more than 20 years.  Dr. Miller has published extensively in the area of Maternal-Fetal Medicine and has won numerous awards and honors including Best Doctors in America from 2001-present.

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Transcription: 
What should an expectant mother do who is HIV positive to avoid passing the virus to her newborn? Probably the most important thing to do is to know her HIV status, and if positive, to make sure that she seeks treatment from clinicians, and in a setting with extensive experience in the management of HIV during pregnancy. There are many different medications for the treatment of HIV, and there are many different considerations with respect to the delivery location, the delivery timing, the delivery method, not to mention the diagnosis and treatment of the newborn after birth. Again, the most important factor in the management of HIV in pregnancy is the experience of the team caring for the pregnant patient. For example, the USC program for HIV in pregnancy, run by my colleague, Alice Stek, has zero percent vertical transmission of HIV from mother to baby.