Balancing standardized management and individualized implementation of antiretroviral therapy during pregnancy: an interpretation of the Expert Consensus on Antiretroviral Therapy for Women Living with HIV during Pregnancy ( 2025 version)
10.3760/cma.j.issn.1674-2397.2025.04.004
- VernacularTitle:聚焦妊娠期抗病毒治疗的标准化管理与个体化实施—《HIV感染女性妊娠期抗反转录病毒治疗专家共识（2025版）》解读
- Author:
Zongxing YANG
1
;
Zhongdong ZHANG
1
;
Jinchuan SHI
1
Author Information
1. 浙江中医药大学附属杭州西溪医院感染二科，杭州 310023
- Publication Type:Journal Article
- Keywords:
HIV;
Pregnancy;
Antiretroviral therapy;
Exper consensus;
Interpretation
- From:
Chinese Journal of Clinical Infectious Diseases
2025;18(4):280-284,304
- CountryChina
- Language:Chinese
-
Abstract:
The management of antiretroviral therapy（ART）in pregnant women living with HIV presents considerable challenges，necessitating a comprehensive approach that integrates virological suppression，drug safety，physiological changes during pregnancy，co-infections，and maternal-infant outcomes. To address these issues，the AIDS Committee of the Chinese Society of Tropical Disease and Parasitology，the Perinatal Infection Professional Committee of the Zhejiang Maternal and Child Health Association，and the Committee of AIDS Diagnosis and Treatment Quality Control Management of the Zhejiang Provincial STD/AIDS Prevention Association jointly developed the Expert Consensus on Antiretroviral Therapy for Women Living with HIV During Pregnancy（2025 version）. This consensus synthesizes international guidelines，the latest evidence-based research，and clinical expertise tailored to the management of HIV-infected pregnant women in China. It systematically outlines key aspects of ART management across various clinical scenarios during pregnancy，including treatment initiation or re-initiation，dynamic monitoring，regimen optimization，continuum of perinatal care，and management of co-infections，thereby establishing a clinically applicable decision-making framework. This article interprets the core recommendations and clinical applications of the consensus to assist healthcare providers in optimizing care for this population.
