Considerations in pregnancy 2024
British HIV Association guidelines on the management of opportunistic infection in people living with HIV:
Considerations in pregnancy 2024
Introduction
AIDS-related complications are a common cause of maternal death worldwide and are responsible for a high proportion of maternal deaths in low-income countries; they are a significant contributing cause of maternal death in high-income countries, although the absolute numbers are small. Their medical management is complicated by the requirement to balance the needs of the mother and the fetus.
As opportunistic infections in pregnant women living with HIV in the UK are rare, they should be managed with close collaboration between HIV specialists, obstetricians, neonatologists, paediatricians and pharmacists. Any case of confirmed or suspected opportunistic infection in pregnancy should ideally be discussed within a fetal medicine and infection multidisciplinary team.
Downloads
Appendices
Appendix 1: Risk associated with drugs to treat opportunistic infections in pregnancy and during breastfeeding
Appendix 2: PICO questions and literature search strategies
Additional information
General methodology
Supporting people living with HIV and opportunistic infections
Declaration of interests
Declaration of interests from writing group members
Non-technical summary
Please note: The non-technical summary is less detailed than the full guideline and if you are reading this because it is relevant to your own healthcare, please do discuss any concerns or questions with your healthcare professionals.
Writing group
Dr Julia Greig (Chair), Dr Alasdair Bamford, Dr David Chadwick, Mrs Alison Darley, Dr Donia Gamoudi, Dr Joyeeta Palit
UK-CAB (community) members are involved in the writing and/or proofreading of each chapter, and where not listed as authors are the UK-CAB members of the Guidelines Subcommittee.
Peer review
The guidelines were peer reviewed by Dr Lisa Hamzah, St George’s University Hospitals NHS Foundation Trust, London, and Prof Graham Taylor, Imperial College London.
The guidelines were circulated for public consultation and no further comments were received.
Guideline updates and date of next review
The guidelines are scheduled for full review by 2029.