Perinatal HIV Transmission for Health Professionals

Information for health professionals on perinatal HIV.

On this page:
Reporting
Clinical Features and Testing
Infant Feeding Recommendations
Minnesota Resources
National Resources

Reporting

• HIV Perinatal Report Form (PDF)
  This form is used to report pregnancy in a person chronically infected with HIV/AIDS to MDH. This form must be submitted during pregnancy and at pregnancy outcome. Visit HIV/AIDS Confidential Case Report Forms for additional HIV reporting information. 
  Revised 2023
• Chronic Infections in Pregnant Patients
  Minnesota law, specifically Minnesota Rules Chapter 4605.7044, requires the reporting of pregnancy in a person chronically infected with HIV, including AIDS, to MDH within one working day of knowledge of the pregnancy.

Clinical Features and Testing

• Clinicians Testing Guide to Routine HIV Testing During Pregnancy 2019 (PDF)
  MDH guidelines for health care providers to provide routine HIV testing for pregnant women.
• HIV Antiretroviral Drugs Access Fact Sheet (PDF)
  The MDH Fetal-Infant Mortality Review (FIMR/HIV) group created this general resource to help guide facilities toward best practices to preventing perinatal transmission. The goal is to increase access to antiretroviral medicines for pregnant people and their newborns in Minnesota hospitals.

Infant Feeding Recommendations

• AAP: Infant Feeding for Persons Living With and at Risk for HIV in the United States: Clinical Report
  2024 infant feeding guidance from the American Academy of Pediatrics.
• NIH: Recommendations for the Use of Antiretroviral Drugs During Pregnancy and Interventions to Reduce Perinatal HIV Transmission in the United States
  2023 national infant feeding recommendations from the National Institutes of Health.

Minnesota Resources

Children's Perinatal & Pediatric HIV Program

This program provides care and prevention services to women, children, youth and their families living with HIV across the state of Minnesota. We collaborate with OB/GYN clinics, infectious disease clinics, and labor and delivery centers to coordinate care for pregnant women, provide education on perinatal HIV transmission reduction strategies, and create delivery plans to ensure that women and babies are well cared for throughout their pregnancies and deliveries.

• Children's: Perinatal HIV Prevention
  This webinar, developed by Children's Minnesota, offers foundational knowledge on perinatal HIV prevention and care, information on how to access care for patients, and additional resources health care professionals and families. It is available for all and offers free continuing education credit for completion.
   
• For information about pregnancy and HIV, clinical support, technical assistance, or perinatal referrals: call the Perinatal HIV Nurse Coordinator at 612-387-2989.
• For emergencies or after hours clinical consultation: call the Minnesota Physician Access Line at 612-343-2121. Ask for the on-call Infectious Disease physician.
• For general program information, pediatric referrals, and training requests: call the Perinatal and Pediatric HIV Program Coordinator at 651-226-8211.

Hennepin Health Systems

• The Perinatal HIV Care Coordinator RN can be reached by phone at 612-873-5074.

National Resources

• NIH: Recommendations for Use of Antiretroviral Drugs During Pregnancy and Interventions to Reduce Perinatal HIV Transmission in the United States
  These guidelines, updated in 2021, provide health care providers, patients, and policy experts clinical information on the use of antiretroviral drugs during pregnancy for maternal health and interventions to reduce perinatal HIV transmission. It includes sections on breastfeeding, preconception counseling, reproductive options, antepartum care, intrapartum care, follow up care, and more.
• Clinician Consultation Center: Perinatal HIV/AIDS
  Consultation on all levels of perinatal HIV management, including on complex and unique treatment dilemmas, to provide you the best possible information on up-to-date, high-quality care. Clinical consultation staff includes OB/GYNs, Infectious Disease specialists, internists, family practitioners, and clinical pharmacists at the University of California, San Francisco. Visit online or by phone consultation at 1-888-448-8765, 24 hours a day, 7 days a week.
• ATEC Resource Library
  The AIDS Education & Training Center Program’s Resource Library contains materials for HIV/AIDS clinicians, clinical trainers, and training program managers.
• CDC: Preventing New HIV Infections
  PrEP use may be one of several options to help protect the HIV-negative male or female partner in a heterosexual HIV-discordant couple during attempts to conceive. This CDC website includes guidelines and related implementation resources provide guidance about prevention strategies and services that can prevent or diagnose new HIV infections and link individuals at risk to relevant prevention, medical and social services, including Preexposure Prophylaxis for the Prevention of HIV Infection in the United States.