cervicitis and HIV in pregnancy

Question 1

the best tx for chlamydial cervicitis in pregnancy?

Answer 1

erythromycin, azithromycin, and amoxicillin

Question 2

what does chlamydia cause in neonate?

Answer 2

conjuctivitis (not treated by neonatal opthalmic drops —>those are used for gonorrhea) and pneumonia. rarely sepsis

Question 3

how to tx HIV+ woman already in labor and has ruptured her membranes w/out previous prenatal care?

Answer 3

elect CS not useful since ROM has occured. IV ZDV, avoiding fetal scalp electrode, or IUP or forceps or vaccum advisable to decrease risk of vertical transmission.
neonate will also need oral ZDV.