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NURSE-MIDWIFERY MANAGEMENT OF WOMEN WITH HUMAN IMMUNODEFICIENCY VIRUS DISEASE

Authors

  • Emily De Ferrari CNM,

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    • Emily De Ferrari, CNM, was graduated from the University of Mississippi Nurse-Midwifery Education Program and currently practices at the Nurse-Midwifery Service of Johns Hopkins Hospital, Baltimore, Maryland. She is the primary nurse-midwife for HIV-infected women attending the Johns Hopkins Hospital Obstetric Clinic. She served on the ACNM Ad-Hoc Committee on AIDS.

  • Carolyn L. Gegor CNM, MS,

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    • Carolyn L. Gegor, CNM, MS, RDMS, a graduate of the Georgetown Nurse-Midwifery Program, is Director of Nurse-Midwifery and Instructor of Gynecology and Obstetrics at the Johns Hopkins University School of Medicine, and Clinical Director of the Fetal Assessment Center at the Johns Hopkins Hospital, Baltimore, Maryland.

  • Lisa Summers CNM, MSN,

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    • Lisa Summers, CNM, MSN, a graduate of the Yale Nurse-Midwifery Program, is Instructor of Gynecology and Obstetrics at the Johns Hopkins University School of Medicine and the Nurse-Midwifery Research Coordinator. She is completing doctoral studies at Columbia Unversity School of Public Health.

  • Lisa L. Paine CNM, DrPH, FAAN,

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    • Lisa L. Paine, CNM, DrPH, is Associate professor of Maternal–Child Health at the Boston University School of Public Health and is Director of the Nurse-Midwifery Education Program and the Maternal and Child Health Program in the School of Public Health. Dr. Paine is the former Director of Nurse-Midwifery Services at the Johns Hopkins Hospital.

  • Jean R. Anderson MD

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    • Jean R. Anderson, MD, a graduate of Vanderbilt University Medical School, is Assistant Professor of Gynecology and Obstetrics at the Johns Hopkins University School of Medicine and the Director of the Obstetric HIV Clinic.


6Johns Hopkins University, 600 North Wolfe Street, Houck 228, Baltimore, MD 21287–1228.

ABSTRACT

Primary care for women with human immunodeficiency virus (HIV) disease is appropriately provided by nurse-midwives within a well-coordinated system of medical consultation and referral. The issues of access to care, partner notification, reproductive choice, and breast-feeding are discussed. The nature of the collaborative management of HIV in pregnancy is explained. Management issues include the effects of HIV infection and pregnancy upon each other, perinatal transmission risks and postpartum needs, family planning, and gynecologic needs. Clinical care guidelines are included.

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