USMLE Forum Archives - USMLE Step 3 - HIV+ve pregnant woman & mode of delivary
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#1
Re: HIV+ve pregnant woman & mode
harry206 - 05-15-09 12:17 If viral load >1000 even after HAART ---> C Section
If suppresion achieved on HAART ---> patient preference
#2
Re: HIV+ve pregnant woman & mode
zkadhem - 05-15-09 12:45 good.
- If the viral load remains above 1,000 copies/mL, the CDC recommends delivery by C-section. When performed at 38 weeks, prior to the onset of labor, the relative risk of transmission is reduced by 50%. Perinatal ZDV, may also help reduce the risk of transmission. Also, the premature rupture of membranes (PROM) should be addressed promptly in HIV-infected mothers. Children born to mothers more than 4 hours after rupture are twice as likely to acquire HIV.
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