Preconception Counseling - Initiating the Conversation About Your Patient's Reproductive Intentions

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Current State: Thanks to advancements in treatments and drug regimens, HIV+ individuals are living healthier, longer lives. Since an HIV diagnosis is no longer seen as a death sentence, many HIV+ individuals desire to start or are starting families. Therefore, HIV providers must ensure that they not only start the conversation but they understand how to have the conversation with both women and men on how to achieve optimal preconception health and conceive safely. The ultimate goal is to increase the number of HIV+ men and women who have been counseled on ways to reduce HIV transmission risks in pregnancy.

The first step in this process, and the focus of this email, is understanding the fertility intentions of your patients. This can be accomplished in one of two ways:

  • Provider* initiates conversation
  • Patient completes questionnaire at intake and then shares it with provider.

Below are a number of resources, curated for you by MATEC, with recommendations on how to employ these in practice.

1) Provider* Initiated Conversation

2) Patient Initiated Conversation

  • Resource: Client Questionnaire and Provider Checklist
    Source: AETC National Resource Center
    • Patients can fill out this questionnaire prior to meeting with the provider. This questionnaire can help the patient explore their fertility desires and basic reproductive history.
    • This tool provides the patient with an opportunity to reflect on their reproduction desires, which the provider can then use to start a conversation.

3) Other resources for review and consideration

  • Resource: Preconception Counseling and Care for HIV-Infected Women of Childbearing Age
    Source: Department of Health and Human Services, AIDS Info
    • Resource starts on page C-1.
    • Minnesota Perinatal HIV Program
      First point of contact for more information and provider education/consultation, referrals for care coordination from the MN Perinatal HIV Program:
      • Susan Dicker, RN, MS, MPH
        Perinatal HIV Nurse Coordinator
        Ph: 612-387-2989
        Email: susan.dicker@childrensmn.org
      • Clinical consultation for physicians, clinical providers, etc:
        Laura Hoyt, MD
        Clinical Director
        Ph: 651-220-6444
      • Preconception Counseling risk reduction/health education sessions for patients:
        Alissa Fountain
        Ph: 651-226-8211
        Email: alissa.fountain@childrensmn.org
  • Perinatal HIV Hotline
    Source: National Perinatal HIV Consultation and Referral Service
    Ph: 1-888-448-8765

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Updated Thursday, October 09, 2014 at 02:11PM