HIV positive primi near term, advice given is:: (A) Treatment should be stalled before labour, (B) Avoid mixing of blood intrapaum, (C) Vaginal delivery preferred, (D) Cesarean section would be decrease transmission of HIV baby
Answer is A. Zidovudine IV infusion staing at onset of labour or 4 hours before CS section.Loading dose of 2mg/kg/hr,maintainance dose of 1mg/kg/hr until cord clamping is done. D.C.DUTTA'S TEXTBOOK OF GYNECOLOGY,Pg no:302,7th edition