女性应在产后最初 3 周与其产科保健医师保持联系,在出院后最后 2-4 周与其 HIV 执业医师保持联系。[6]The Panel on Treatment of Pregnant Women with HIV Infection and Prevention of Perinatal Transmission, US Department of Health and Human Services. Recommendations for the use of antiretroviral drugs in pregnant women with HIV infection and interventions to reduce perinatal HIV transmission in the United States. December 2018 [internet publication].https://aidsinfo.nih.gov/guidelines/html/3/perinatal/0
应评估伤口部位的愈合、子宫复旧以及产后出血适时停止的情况。因为剖宫产后伤口感染的风险可能会增加,因此应在出院后、产后常规随访前评估伤口愈合情况。[58]US Department of Health and Human Services, Health Resources and Services Administration. A guide to the clinical care of women with HIV. 2013 [internet publication].http://aidsetc.org/sites/default/files/resources_files/CCGW_lowres.pdf
女性 HIV 感染者往往会在照顾子女和家庭成员时忽视自身健康。[58]US Department of Health and Human Services, Health Resources and Services Administration. A guide to the clinical care of women with HIV. 2013 [internet publication].http://aidsetc.org/sites/default/files/resources_files/CCGW_lowres.pdf 应为女性提供全面的医疗和支持性治疗服务,包括 HIV 专业护理、初级医疗和妇科护理、计划生育、 [
]How does family planning (with or without HIV prevention) compare with usual care for women living with HIV?https://www.cochranelibrary.com/cca/doi/10.1002/cca.2083/full显示答案 精神健康或药物滥用治疗服务,并在需要时提供食物、住房、交通方面的帮助,以及法律/权益倡导方面的服务。[58]US Department of Health and Human Services, Health Resources and Services Administration. A guide to the clinical care of women with HIV. 2013 [internet publication].http://aidsetc.org/sites/default/files/resources_files/CCGW_lowres.pdf 由于 HIV 阳性女性精神疾病和抑郁症的患病率较高,因此她们可能存在产后抑郁的风险。[58]US Department of Health and Human Services, Health Resources and Services Administration. A guide to the clinical care of women with HIV. 2013 [internet publication].http://aidsetc.org/sites/default/files/resources_files/CCGW_lowres.pdf
妊娠期抗逆转录病毒治疗登记处 (APR) 由制药公司、美国疾病预防控制中心 (Centers for Disease Control and Prevention, CDC)、美国国立卫生研究院 (National Institutes of Health) 和妇产科医生共同发起,目标是收集关于妊娠期暴露于抗逆转录病毒治疗的观察性信息,以评估潜在的胎儿/婴儿畸形。不使用患者姓名,并对患者信息保密。积极鼓励治疗 HIV 感染妊娠女性的医疗保健提供者向该登记处报告产前暴露于抗逆转录病毒药物的病例。Antiretroviral Pregnancy Registry