HIV Perinatal Case Management: intervention improves outcomes in pregnancy, postpartum

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Takeaway

  • Perinatal Medical Case Management (PCM) is a successful intervention for preventing perinatal HIV transmission and closing gaps in care for women living with HIV (WLWH) during pregnancy and postpartum.

Why this matters

  • Despite the ability of antiretroviral therapy (ART) to prevent perinatal HIV transmission, failures still occur.

 Key results

  • On multivariable analysis, WLWH in PCM (n=448, 52.8%) were almost twice as likely to achieve HIV suppression before delivery (aOR, 1.90; P=.0005) compared with those not in PCM.
  • PCM participants were more likely to be retained in HIV care 1-y postpartum vs nonparticipants (aOR, 1.59; P=.0029).
  • PCM participants and nonparticipants were equally likely to engage in HIV care within 90-d of delivery (aOR, 1.21; P=....