HIV

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?

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

if < 50, she may go for VD?

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.