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Obstetrics and Gynecology Department

Patient Services: HIV in Pregnancy Program

The Division of Maternal-Fetal Medicine provides state-of-the-art care to HIV-positive pregnant women and their families in a supportive clinical environment. Together with the Children’s Hospital of The King’s Daughters and the Combined Immunodeficiency Clinic in the Adult Infectious Disease Clinic located at Hofheimer Hall, seropositive women are guaranteed the most comprehensive and up-to-date HIV care in the Commonwealth of Virginia.

We provide care to more than 95 percent of the HIV-positive pregnant women in southeastern Virginia and northern North Carolina. In past years, this EVMS program annually has managed approximately 60 to 70 pregnant women with HIV.

The program serves as a center of research in HIV/AIDS through the National Institutes of Health (NIH). This allows families receiving HIV-related care to participate in the newest medical treatment regimens to combat this disease. The HIV in Pregnancy Program was a clinical site for the ACTG 185 clinical trial in pregnancy, which has been completed and has significantly modified nationwide the medical management of the disorder. This program received Ryan White funding, which supported the cost of anti-viral medications for indigent women with HIV in pregnancy.

All women receive high-risk obstetrical care through the Division of Maternal-Fetal Medicine, with consultation from the adult infectious disease specialists. Seropositive women also meet with the pediatric infectious disease specialists during their pregnancy so that they may understand the care that their baby will need after delivery.

After delivery, follow-up with continued specialized care is arranged to assure no interruption in medical therapy for HIV for both mother and baby.

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