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Maternal/Perinatal HIV & STIs
Perinatal Screening Guidance
Centers for Disease Control and Prevention (CDC) Screening Guidance
CDC recommends all pregnant women be screened for HIV, hepatitis B (HBV), hepatitis C (HCV) and syphilis during each pregnancy. For pregnant women at higher risk of infection, CDC recommends prenatal screenings for chlamydia and gonorrhea. Targeted testing for tuberculosis (TB) is recommended for pregnant women with known risk factors or exposure to TB.
Michigan Department of Health and Human Services Guidance Resources
Guidelines for Testing and Reporting: Perinatal HIV, Hepatitis B, Hepatitis C, and Syphilis (rev. 2025)
Physicians and other health care professionals providing medical treatment to pregnant women are required, at the time of initial prenatal screening and examination, to test for HIV, hepatitis B and syphilis, unless the woman refuses to be tested or the provider deems the tests are medically inadvisable. These guidelines are for health care professionals working in prenatal care, labor and delivery, and emergency services.
Perinatal Infection Screening Flow Chart and Infant Infection Screening and Response Flow Chart (rev. 2025)
Quick reference clinical guidance for health care professionals working in prenatal care, emergency services, and labor and delivery on perinatal HIV, hepatitis B, syphilis, hepatitis C, chlamydia and gonorrhea screening and infant screening and response to HIV, hepatitis B, hepatitis C and syphilis exposure.
Laboratory Resource Guide for HIV, Hepatitis B, Hepatitis C, and Syphilis (rev. 2024)
A resource guide on how to interpret laboratory testing for birthing women and babies who are at risk and/or who are already infected with HIV, hepatitis B, hepatitis C and/or syphilis.
HIV Care Resource Guide for Pregnant People, Mothers, and Infants (rev. 2025)
A resource guide listing HIV medical providers and their available services offered throughout Michigan for pregnant women, new mothers and infants.
Perinatal Consultation Support
- Michigan HIV and HCV Consultation Program at Henry Ford Health System
Since 2016, the Michigan Department of Health and Human Services and Henry Ford Health System have worked together to provide a Michigan HIV Consultation Program to help answer health care provider questions about HIV-related issues.
- Urgent questions 24/7: 313-575-0332
- Non-urgent questions: HIV Consultation Program, Hepatitis C Consultation Program
- Midwest AIDS Training and Education Center (MATEC) - Michigan
MATEC is a federally funded training center, providing HIV clinical training and support to health care professionals. Its mission is to increase the number of health care providers who are effectively educated and motivated to prevent, diagnose, treat and manage HIV infection.
- Urgent Questions: 313-408-3483
- Non-urgent Questions: 313-962-2000 or visit MATEC Michigan
- National Perinatal HIV Consultation and Referral Service
The Perinatal Hotline provides free, 24-hour, seven-days-a-week clinical consultation and advice on HV testing in pregnancy; treating HIV-infected pregnant women and their infants; and preventing transmission during labor and delivery and the post-partum period.
- 888-448-8765 or visit NCCC Perinatal HIV
- Beaumont Perinatal Infectious Disease Clinic
- 313-982-5430 or visit Infectious Disease Clinic
- Theodore Jones, MD, FACOG - Beaumont Health Maternal/Fetal Medicine
- 313-503-1873
- Eric McGrath, MD - Wayne State University School of Medicine - Department of Pediatrics, Division of Infectious Diseases and
Prevention- 313-505-4005
- Minerva Galang, MD - Mercy Health Infectious Disease
- 616-397-6586
- Rosemary Olivero, MD - Helen DeVos Children's Hospital, Grand Rapids
- 616-479-0883
Additional Resources
Michigan Department of Health and Human Services
- Perinatal HIV Questions and Reporting: 313-434-4419
- Perinatal Hepatitis B Questions and Reporting: 517-242-8319
- Perinatal Hepatitis C Questions and Reporting: 517-335-8165
- Congenital Syphilis Questions and Reporting: 313-316-4680
Reporting:
Michigan Law:
Additional Resources:
-
It's Their Health, Too: HIV and Syphilis Testing During Pregnancy
- Infographic (2023)
- Palm Card (2023)
- Infographic (2023)
- NIH HIV Guidelines
- Perinatal HCV Toolkit
- HCV Perinatal Testing Guidelines Flyer
- AASLD/IDSA Guidelines for HCV Screening in Pregnancy
- AASLD/IDSA Guidelines for HCV Screening in Children
The Breast Milk Initiative
The Breast Milk Initiative is a program that provides free pasteurized human breast milk to women with HIV who have or will be delivering a baby. This partnership is with Bronson's Milk Bank of Kalamazoo and is considered a safer alternative to breastfeeding for women with HIV.
Who is eligible? Women with HIV who:
- Have or will be delivering a baby.
- Are Michigan residents.
- Have a prescription from a licensed health care provider.
For questions about the program, please call 269-341-6146.
Resources:
- Breast Milk Initiative Fact Sheet
- Outpatient Donor Human Milk Prior Authorization Bronson Milk Bank
- Breast Milk Initiative Poster