We are happy to take any referrals for obstetric care, infectious disease care or both. We are also happy to partner with you to give you the tools and protocols you need to care for your patient at your hospital. Our pediatric infectious disease providers would like to see any exposed infants soon after delivery and in conjunction with the pediatrician. Our protocols are available and our Perinatal HIV Nurse Coordinator, Cynthia Maxey-Brown, cares for patients in the Project Ark area, including parts of Southeastern Missouri (see the map). She helps coordinate with outside hospitals to ensure appropriate care and prevention of perinatal HIV transmission. See below phone numbers to refer your patient to care, or get the resources you need.
Washington University and Barnes-Jewish Hospital doctors and nurse practitioners provide prenatal care at one of 2 sites. We also have Maternal-Fetal Medicine doctors. When you or your patient calls for an appointment, the schedulers will take your patient’s health information as well as her insurance information and make sure she is directed to the best place for her prenatal care. Please refer the patient as soon as she presents for care to ensure all opportunity to get her HIV RNA as low as possible.
We consider any patients in the late second or third trimester who are not on medications to be an emergent referral and will see them within 1 week. For late third trimester referrals, please have your office call us and ask to speak to a provider to expedite getting the patient seen and a plan made.nAnother option would be to call for at urgent transfer if the patient is close to delivery.
(314) 747-HIVP / (314) 747-4487
Call this number for non-urgent referrals for care of HIV positive pregnant patients with Infectious Disease or Obstetrics. Expect a call back within 24 hours.
URGENT TRANSFER OR REFERRALS FOR PREGNANT WOMEN OR INFANTS
1-800 678-HELP / 1-800 678-4357
Call this number for urgent transfer or consultation for HIV exposed or HIV infected newborns or children.
OBSTETRIC PRENATAL CARE REFERRALS
PEDIATRIC INFECTIOUS DISEASE
Infants whose mothers are HIV infected are seen by the Pediatric Infectious Disease specialists at St. Louis Children’s Hospital for approximately 4-6 months after birth. If HIV is negative after 4 months, then it can be confirmed that the baby did not become HIV infected at the time of delivery. Newborns will continue to see a general pediatrician for regular baby care and the Pediatric Infectious Disease specialists will communicate with the pediatrician.
The HIV testing schedule is as follows:
- HIV DNA PCR
- Within 48 hours of birth
- At 2 to 3 weeks of age
- At 4 to 6 weeks of age
- At 4 to 6 months of age
Two negative HIV NAT results during the time period below definitively excludes pediatric HIV infection in HIV-exposed infants:
- One negative result obtained > 4 weeks of age
- One negative results obtained > 4 months of age
Information for Clinicians http://pediatrics.wustl.edu/id/Clinical.aspx
Information for Parents http://pediatrics.wustl.edu/id/ForParents.aspx
Barnes-Jewish Hospital Obstetric and Newborn Services http://www.barnesjewish.org/obstetric-gynecology/childbirth-facilities
Washington University and Barnes-Jewish Hospital doctors and nurse practitioners will provide your prenatal care at one of 2 sites. If you have medical conditions other than HIV, you may need to see one of our Maternal-Fetal Medicine (High Risk Obstetrics) doctors. When you call for an appointment, the schedulers will take your health information as well as your insurance information and make sure you are directed to the best place for your prenatal care.
It is best to call for an appointment soon after you find out you are pregnant so that we can evaluate you and your baby early in the pregnancy.
OBSTETRIC PRENATAL CARE
Center for Outpatient Health at Barnes-Jewish Hospital http://www.barnesjewish.org/obstetrics-gynecology/clinic
Center for Advanced Medicine http://wuphysicians.wustl.edu/page.aspx?pageID=917
Washington University Physicians