HIV and Hepatitis in Pregnancy Flashcards
Who is screened for Hep B?
All pregnant women
How is maternal hepatitis B in relation to pregnancy managed?
babies born to mothers who are chronically infected with hepatitis B or to mothers who’ve had acute hepatitis B during pregnancy should receive a complete course of vaccination + hepatitis B immunoglobulin
Are C sections preferred for Hep B?
Little evidence to suggest C-section reduces vertical transmission rate
Can Hep B be transmitted via breastfeeding?
No
What reduces vertical HIV transmission and by how much?
maternal antiretroviral therapy
mode of delivery (caesarean section)
neonatal antiretroviral therapy
infant feeding (bottle feeding)
from 25-30% to 2%
Who is HIV screening offered to?
All pregnant women
Who is antiretroviral therapy for HIV offered to?
Women who need it during pregnancy
What is the recommended mode of delivery for HIV+ women?
vaginal delivery is recommended if viral load is less than 50 copies/ml at 36 weeks, otherwise caesarian section is recommended
a zidovudine infusion should be started four hours before beginning the caesarean section
Whta ART is offered for neonates?
zidovudine is usually administered orally to the neonate if maternal viral load is <50 copies/ml. Otherwise triple ART should be used. Therapy should be continued for 4-6 weeks.
Can HIV+ women breastfeed?
No
