SROM and HIV

Question 1

SROM management in HIV

Answer 1

• In all cases of term pre-labour SROM, delivery should be expedited.
• If maternal HIV viral load is

Question 2

PROM > 34 weeks

Answer 2

Same as term ROM except women who are 34–37 weeks’ gestation will require group B streptococcus prophylaxis in line with national guidelines

Question 3

PROM

Answer 3

• Intramuscular steroids should be administered in accordance with national guidelines
• Virological control should be optimized
• There should be multidisciplinary discussion about the timing and mode of delivery