Special Considerations in the Management of Women With HIV, Including Management of Conception and Pregnancy

  • Author: Sigal Yawetz, MD (More Info)
  • Section Editor: Judith S. Currier, MD, MSc
  • Editors in Chief: Joseph J. Eron, Jr., MD; Daniel R. Kuritzkes, MD
  • Last Reviewed: 10/25/21 (What's New)

Summary

  • Women should continue their oral ART regimen as prescribed before and during labor and delivery (Management Guidelines)[DHHS Perinatal]
  • The decision of whether to add intrapartum IV zidovudine should be based on maternal ART, HIV-1 RNA level, and adherence
    • Women with HIV who present to labor and delivery who are not receiving ART, or women who have a positive rapid HIV test at labor and delivery, should initiate IV zidovudine as soon as possible and undergo Cesarean section delivery[DHHS Perinatal]

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