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HIV

HIV Posted by Mahmoud Abubakr Nasr N.

A 25 year old woman attends the antenatal clinic for the first time at 34 weeks of gestation following 3 previous vaginal births. She booked for antenatal care 2 weeks earlier and her booking blood tests show that she is HIV positive with a viral load of 2500 copies / ml.

 

of the options were:

A. cART and viral load at 36 weeks

B. cART and elective CS at 38-39 week

 

Why you chose B? i think A is the correct?

Posted by Farrukh G.

What difference would a viral load at 36 weeks make to your management?

Posted by Mahmoud Abubakr Nasr N.

if < 50, she may go for VD?

Posted by Farrukh G.

No, that recommendation is based on the condition that:

 

  • All women should have commenced cART by week 24 of pregnancy.

You cannot manage a woman who commences cART at 34 weeks in the same way.