203664 Healthy Moms, Healthy Babies: Childbirth Classes for HIV-Positive Pregnant Women

Wednesday, November 11, 2009: 11:05 AM

Erika Aaron, CRNP , Division of ID/HIV Medicine, Drexel University College of Medicine, Philadelphia, PA
Deborah White, MSW , Division of ID/HIV Medicine, Drexel University College of Medicine, Philadelphia, PA
Mary Jacobs Gorrell , Consultant, Yeadon, PA
Shannon M. Criniti, MPH , Division of ID/HIV Medicine, Drexel University College of Medicine, Philadelphia, PA
Sonia Massey, MSW , Division of ID/HIV Medicine, Drexel University College of Medicine, Philadelphia, PA
Issues: Comprehensive prenatal care for HIV-positive pregnant women can decrease the risk of perinatal HIV transmission, increase optimal management of HIV disease, provide opportunities for screening for postpartum depression, and promote positive parenting skills.

Description: A university-affiliated urban HIV health center that provides clinical treatment for HIV-positive pregnant women developed a comprehensive childbirth education curriculum delivered from first trimester to one year postpartum to educate women about pregnancy, labor, delivery, parenting and how to manage HIV. Topics covered included infant care, parenting, acceptance of HIV diagnosis, disclosing HIV status, fathering skills, financial management, and postpartum depression. Goals were to promote and support positive, healthy behaviors, increase general knowledge about pregnancy, parenting, and HIV disease management, and decrease risks of perinatal transmission. Assessments of mothers' knowledge, goals, behaviors, and emotional status were conducted with analysis to allow the medical team to evaluate barriers to medication adherence, understanding of HIV transmission, and depression risks.

Lessons Learned: Assessments helped to identify issues of concern for the women, and allow medical team to provide assistance and interventions as needed. The classes became a support group for the women, which facilitated increased engagement in medical care. Participants had low rates of missed prenatal visits and there were no perinatal transmissions.

Recommendations: Specialty classes for HIV-positive women can increase their understanding of the importance of adherence to HIV medications, the continuation of medications for their own health after delivery, and ultimately, engagement in follow up care for their own care.

Learning Objectives:
1. Participants will be able to list three potential barriers or risks that may affect pregnant women with HIV. 2. Participants will be able to list two goals to improve infant outcomes in an HIV positive pregnancy.

Keywords: Maternal Health, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I managed the maternal HIV education workshops and work as a prenatal case manager in the HIV clinic.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.