The measures to prevent veical transmission of HIV are all, EXCEPT:
Correct Answer: Vaginal delivery
Description: For prevention of mother-to-child transmission of HIV infection, the following is advocated: 1) Antenatal antiretroviral therapy (HAA), to be staed once positive status is confirmed irrespective CD4 counts or clinical stage of disease 2) Nevirapine during labor (if the patient is not on HAA) 3) Minimal interventions, avoid ARM, instrumental delivery, repeated PV examinations 4) Avoiding breast feeding reduces incidence of veical transmission. Although in developed countries exclusive breast feeding is preferred. Second best option is Exclusive replacement feeding. But mixed feeding is absolutely contraindicated 5) Vitamin A supplementation to mother has been found to decrease the veical transmission in few studies 6) LSCS is to be done ONLY for obstetric indications. Although it is reasonable to perform an elective LSCS if viral copies is >1000/mL 7) Nevirapine prophylaxis to newborn irrespective of type of feeding
Category:
Gynaecology & Obstetrics
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