Medical and Surgical Complications in Pregnancy
All can be used to lower mother to child HIV spread Except (AIPG 2010)
1. In most cases the virus is transmitted peripartum, and 15 to 40 percent of neonates born to non-breast feeding, untreated. HIV infected mothers are infected.
2. Guidelines for management of HIV in pregnancy are as follows:
a. If maternal HIV RNA level is more than 1000 copies/mL, the combination antiretroviral therapy is indicated.
b. For women with no treatment prior to labor, intrapartum prophylaxis is appropriate with Zidovudine, zidovudine with lamivudine, zidovudine with nevirapine, or nevirapine alone.
3. LSCS is recommended for HIV infected women whose HIV - 1 RNA load exceeds 1000 copies/mL.
4. There is no need to omit ergometrine & it can be given safely to HIV positive mother.
5. However breast feeding should be avoided.