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Perinatal HIV & STIs
Perinatal Screening Guidance
Centers for Disease Control and Prevention (CDC) Screening Guidance
CDC recommends all pregnant people be screened for HIV, hepatitis B (HBV), and syphilis during pregnancy. For pregnant people at higher risk of infection, CDC recommends prenatal screenings for hepatitis C (HCV), chlamydia, and gonorrhea. Targeted testing for tuberculosis (TB) is recommended for pregnant people with known risk factors or exposure to TB.
- Screening Recommendations: Clinician Timeline for Screening Syphilis, HIV, HBV, HCV, Chlamydia, and Gonorrhea (CDC, 2018)
Additional information is available at: CDC Pregnancy and HIV, Viral Hepatitis, STD, & TB Prevention
Michigan Department of Health and Human Services Guidance Resources
Guidelines for Testing and Reporting: Perinatal HIV, Hepatitis B, Hepatitis C, and Syphilis (rev. 2021)
Physicians and other healthcare professionals providing medical treatment to pregnant people 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 healthcare 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. 2022)
Quick reference clinical guidance for healthcare professionals working in prenatal care, emergency services, and labor and delivery on perinatal HIV, hepatitis B, syphilis, hepatitis C, chlamydia, and gonorrhea screening and on infant screening and response to HIV, hepatitis B, and syphilis exposure.
Laboratory Resource Guide for HIV, Hepatitis B, Hepatitis C, and Syphilis (rev. 2021)
A resource guide on how to interpret laboratory testing for birthing people 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. 2020)
A resource guide listing HIV medical providers and their available services offered throughout Michigan for pregnant people, 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 healthcare providers' questions about HIV-related issues.
- Midwest AIDS Training and Education Center (MATEC) - Michigan
MATEC is a federally funded training center, providing HIV clinical training and support to healthcare professionals. Its mission is to increase the number of healthcare 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 people 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
- Elizabeth Secord, MD - Wayne State University Department of Pediatrics HIV Services
- Minerva Galang, MD - Mercy Health Infectious Disease
- Rosemary Olivero, MD - Helen DeVos Children's Hospital, Grand Rapids
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
- 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 InitiativeThe Breast Milk Initiative is a program that provides free pasteurized human breast milk to people 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 people with HIV.
Who is eligible? People 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: 517-241-5900
Breast Milk Initiative Fact Sheet
Breast Milk Initiative Tear Off - poster to hang in client and/or patient areas
Breast Milk Sample Script for Providers (an example of what information needs to be included in the provider script)
In concurrence with the Academy of Pediatrics and the Centers for Disease Control and Prevention, to prevent HIV transmission, people in the United States with HIV should not breastfeed their infants.
- Breastfeeding and HIV: MDHHS Guidance for Healthcare Providers (MDHHS, October 2018)
- Flynn PM, Taha TE, Cababasay, M, et al. Prevention of HIV-1 Transmission Through Breastfeeding: Efficacy and Safety of Maternal Antiretroviral Therapy Versus Infant Nevirapine Prophylaxis for Duration of Breastfeeding in HIV-1-Infected Women With High CD4 Cell Count (IMPAACT PROMISE) A Randomized, Open-Label, Clinical Trial. JAIDS Journal of Acquired Immune Deficiency Syndromes. (77)4: 383-392; April 1, 2018.
- Does U=U for Breastfeeding Mothers and Infants? Researchers Highlight Unanswered Questions (NAM aidsmap, July 2018)