Question | Discussion | References

Management of the Pregnant Woman Diagnosed with HIV Infection while in Labor

You answered:

A She has presented too late for any meaningful and effective efforts to prevent HIV transmission to her child.

This answer is incorrect. Interventions during labor can still significantly reduce the risk of HIV transmission to the infant of an HIV-infected mother.

Choose another answer:

B She should be immediately transferred to a hospital for an urgent Cesarean section to reduce the risk of HIV transmission to her child. No antiretroviral therapy is indicated for her, but her infant should receive prophylaxis with daily oral nevirapine starting at birth and continued until one week after breastfeeding has stopped..
C A single oral dose of nevirapine should be given to her immediately, along with a dose of oral zidovudine plus lamivudine, with continuation of the zidovudine plus lamivudine for one week postpartum. Her infant should receive prophylaxis with daily oral nevirapine starting at birth and continued until one week after breastfeeding has stopped.
D Oral zidovudine plus lamivudine should be given to her immediately and continued for one week postpartum; her infant should receive oral zidovudine-lamivudine starting at birth and continued until one week after breastfeeding has stopped.

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