Home Birth in the Era of COVID-19: Counseling and Preparation for Pregnant Persons Living with HIV

Ashish Premkumar*, Irina Cassimatis, Saba H. Berhie, Jennifer Jao, Susan E. Cohn, Sarah H. Sutton, Brianne Condron, Jordan Levesque, Patricia M. Garcia, Emily S. Miller, Lynn M. Yee

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


With the coronavirus disease 2019 (COVID-19) pandemic in the United States, a majority of states have instituted shelter-in-place policies effectively quarantining individuals-including pregnant persons-in their homes. Given the concern for COVID-19 acquisition in health care settings, pregnant persons with high-risk pregnancies-such as persons living with HIV (PLHIV)-are increasingly investigating the option of a home birth. Although we strongly recommend hospital birth for PLHIV, we discuss our experience and recommendations for counseling and preparation of pregnant PLHIV who may be considering home birth or at risk for unintentional home birth due to the pandemic. We also discuss issues associated with implementing a risk mitigation strategy involving high-risk births occurring at home during a pandemic. Key Points Coronavirus disease 2019 pandemic has increased interest in home birth. Women living with HIV are pursuing home birth. Safe planning is paramount for women living with HIV desiring home birth, despite recommending against the practice.

Original languageEnglish (US)
Pages (from-to)1038-1043
Number of pages6
JournalAmerican journal of perinatology
Issue number10
StatePublished - Aug 1 2020


  • COVID-19
  • HIV
  • out-of-hospital birth
  • perinatal transmission

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health


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