eprintid: 10197764
rev_number: 7
eprint_status: archive
userid: 699
dir: disk0/10/19/77/64
datestamp: 2024-09-30 07:18:27
lastmod: 2024-09-30 07:18:27
status_changed: 2024-09-30 07:18:27
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Gupta, Neil
creators_name: Hiebert, Lindsey
creators_name: Saseetharran, Ankeeta
creators_name: Chappell, Catherine
creators_name: El-Sayed, Manal H
creators_name: Hamid, Saeed
creators_name: Jhaveri, Ravi
creators_name: Judd, Ali
creators_name: Kushner, Tatyana
creators_name: Badell, Martina
creators_name: Biondi, Mia
creators_name: Buresh, Megan
creators_name: Prasad, Mona
creators_name: Price, Jennifer C
creators_name: Ward, John W
title: Best practices for hepatitis C linkage to care in pregnant and postpartum women: perspectives from the Treatment In Pregnancy for Hepatitis C Community of Practice
ispublished: pub
divisions: UCL
divisions: B02
divisions: D65
divisions: J38
keywords: Hepatitis C, linkage to care, peripartum, pregnancy
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
abstract: There is an increasing burden of hepatitis C virus among persons of reproductive age, including pregnant and breastfeeding women, in many regions worldwide. Routine health services during pregnancy present a critical window of opportunity to diagnose and link women with hepatitis C virus infection for care and treatment to decrease hepatitis C virus-related morbidity and early mortality. Effective treatment of hepatitis C virus infection in women diagnosed during pregnancy also prevents hepatitis C virus-related adverse events in pregnancy and hepatitis C virus vertical transmission in future pregnancies. However, linkage to care and treatment for women diagnosed in pregnancy remains insufficient. Currently, there are no best practice recommendations from professional societies to ensure appropriate peripartum linkage to hepatitis C virus care and treatment. We convened a virtual Community of Practice to understand key challenges to the hepatitis C virus care cascade for women diagnosed with hepatitis C virus in pregnancy, highlight published models of integrated hepatitis C virus services for pregnant and postpartum women, and preview upcoming research and programmatic initiatives to improve linkage to hepatitis C virus care for this population. Four-hundred seventy-three participants from 43 countries participated in the Community of Practice, including a diverse range of practitioners from public health, primary care, and clinical specialties. The Community of Practice included panel sessions with representatives from major professional societies in obstetrics/gynecology, maternal fetal medicine, addiction medicine, hepatology, and infectious diseases. From this Community of Practice, we provide a series of best practices to improve linkage to hepatitis C virus treatment for pregnant and postpartum women, including specific interventions to enhance colocation of services, treatment by nonspecialist providers, active engagement and patient navigation, and decreasing time to hepatitis C virus treatment initiation. The Community of Practice aims to further support antenatal providers in improving linkage to care by producing and disseminating detailed operational guidance and recommendations and supporting operational research on models for linkage and treatment. Additionally, the Community of Practice may be leveraged to build training materials and toolkits for antenatal providers, convene experts to formalize operational recommendations, and conduct surveys to understand needs of antenatal providers. Such actions are required to ensure equitable access to hepatitis C virus treatment for women diagnosed with hepatitis C virus in pregnancy and urgently needed to achieve the ambitious targets for hepatitis C virus elimination by 2030.
date: 2024-10
date_type: published
publisher: Elsevier BV
official_url: http://dx.doi.org/10.1016/j.ajog.2024.06.028
full_text_type: other
language: eng
verified: verified_manual
elements_id: 2302890
doi: 10.1016/j.ajog.2024.06.028
medium: Print-Electronic
pii: S0002-9378(24)00704-X
lyricists_name: Judd, Ali
lyricists_id: AJUDD59
actors_name: Judd, Ali
actors_id: AJUDD59
actors_role: owner
full_text_status: restricted
publication: American Journal of Obstetrics and Gynecology
volume: 231
number: 4
pagerange: 377-385
event_location: United States
issn: 0002-9378
citation:        Gupta, Neil;    Hiebert, Lindsey;    Saseetharran, Ankeeta;    Chappell, Catherine;    El-Sayed, Manal H;    Hamid, Saeed;    Jhaveri, Ravi;                                 ... Ward, John W; + view all <#>        Gupta, Neil;  Hiebert, Lindsey;  Saseetharran, Ankeeta;  Chappell, Catherine;  El-Sayed, Manal H;  Hamid, Saeed;  Jhaveri, Ravi;  Judd, Ali;  Kushner, Tatyana;  Badell, Martina;  Biondi, Mia;  Buresh, Megan;  Prasad, Mona;  Price, Jennifer C;  Ward, John W;   - view fewer <#>    (2024)    Best practices for hepatitis C linkage to care in pregnant and postpartum women: perspectives from the Treatment In Pregnancy for Hepatitis C Community of Practice.                   American Journal of Obstetrics and Gynecology , 231  (4)   pp. 377-385.    10.1016/j.ajog.2024.06.028 <https://doi.org/10.1016/j.ajog.2024.06.028>.      
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10197764/1/Best%20Practices%20for%20Hepatitis%20C%20Linkage%20to%20Care%20in%20Pregnant%20and%20Postpartum%20Women%20AJOG%20Pre-print%20July%202024.pdf