True about starting ART in pregnancy is –
Correct Answer: Nevirapine is given to neonate within 72 hours of birth
Description: Ans. is 'c' i.e., Nevirapine is given to neonate within 72 hours of birth o Intrapartum care:a) Zidovudine (AZT) is given as the i.v. infusion starting at the onset of labor or 4 hours before cesarean section. Loading dose : 2mg/kg/hour, maintenance dose: 1 mg/kg/hour.b) Nevirapine single dose at onset of labor and a single dose of it to the newborn at age 48 - 72 hours is an effective alternative treatment for women who had no prior therapy.c) Elective LSCS is preferred over vaginal delivery as it cuts the risk of transmission by around 50% and also breastfeeding is better avoided.Note: Nevirapine is preferred over zidovudine as it has fewer side effectso Efavirenz is avoided in 1 st trimester due to teratogenicity.
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