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.