HIV and Pregnancy

Question 1

aim

Answer 1

to reduced vertical transmission

Question 2

ways to reduce vertical transmission

Answer 2

maternal antiretroviral therapy

mode of delivery (caesarean section)

neonatal antiretroviral therapy

infant feeding (bottle feeding)

Question 3

screening

Answer 3

offering HIV screening to all pregnant women

Question 4

mx

Answer 4

all pregnant women should be offered antiretroviral therapy regardless of whether they were taking it previously

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

Question 5

what is the advice regarding neonatal antiretroviral therapy?

Answer 5

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.

Question 6

breast feeding and hiv

Answer 6

not recommended