Nancy Miller

Nancy Miller is a midwife at the Women’s Health and Birthing Pavilion at Morris Heights in the Bronx, New York, an out-of-hospital birth center in an economically and socially vulnerable community. She has worked with HIV-positive women and taught about HIV/AIDS in New York, South Africa, Uganda, China and Trinidad.

HIV and Breastfeeding: What We Do and Do Not Know in 2005

The final article in the five-part series on HIV and Pregnancy by Nancy Miller. This is essential information for anyone who is working with HIV-infected mothers.

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HIV in Postpartum and Baby Care

Nancy continues her HIV series with a discussion of treatment for moms living with HIV and their babies.

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What More Can We as Midwives Do about HIV?

The author discusses the shocking statistics on HIV and AIDs cases in Africa, shares some real stories and wonders what the future holds.

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The Worst Had Happened…and She Survived!

The worst had happened and a family learns to live positively with HIV.

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Antiretroviral Basics

As midwives, we often struggle against medical interventions that have dubious value for mothers and babies. But a few medical interventions, when used appropriately, are lifesavers. I believe antiretrovirals to be one of these lifesavers.

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HIV Basics

Not much can be more horrible than a disease that turns our lovemaking and the milk that pours from our breasts to nourish our babies into means of transmitting a lethal virus. I invite you to become passionate about knowing about this disease so you can help women protect themselves and their babies from it.

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HIV & Pregnancy: What More Can We Do for HIV-Positive Women?

Maternal to Child Transmission (MTCT) is the primary mode of transmission of HIV to children. A pregnant woman needs to learn about MTCT and how to prevent it. If we care for HIV-positive pregnant women, we must commit to keep current in order to offer them and their babies the very best information and care.

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A Determined Life

MT is an enormously spirited woman. Her spiritedness has gotten her into trouble—big trouble. And it has also fueled her determination to deal with her troubles head on. I met MT during her initial prenatal visit with her fifth child. She told me unabashedly that she was HIV-positive and had a history of crack cocaine abuse and supporting her habit by selling sex for drugs. But with pride she went on to tell how she had kicked the cocaine habit and gotten her life together after finding out she was HIV-infected. She had gone to support groups, even learning how to tell her kids about her HIV status and support them in their reactions. Now she leads support groups.

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Extra Special Care for Birthing Women who happen to be HIV-positive

AJ was the first pregnant woman to test HIV-positive at The Childbearing Center at Morris Heights in the Bronx, New York, in 1996. She was devastated to find out that she was infected with HIV. It was a privilege to care for her. And I know that our specialized care made a difference in her life and her births.

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What More Can We Do About HIV?

As midwives we are ever involved in measures to prevent maternal, fetal and newborn death. In the last couple of decades, we have added measures around HIV infection in order to prevent death of women and their babies from AIDS. But are we doing enough?

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