Antenatal care and HIV

Question 1

Antenatal care and HIV

Answer 1

• Fetal ultrasound imaging should be performed as per national guidelines regardless of HIV status
• Invasive prenatal diagnostic testing should not be performed until after the HIV status of the
  mother is known and should ideally be deferred until HIV viral load has been adequately suppressed
• If not on treatment and the invasive diagnostic test procedure cannot be delayed until viral
  suppression is achieved, it is recommended that women should commence cART to include raltegravir and be given a single dose of nevirapine 2–4 hours prior to the procedure.
• ECV can be done