This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Elective caesarion section in HIV infected pregnant woman is done in ? 
Select and explain. 
A. All cases, B. All primipara, C. If viral load > 1000 /ml, D. Only in premature rupture of membrane
C: If viral load > 1000 /ml
Answer: C: If viral load > 1000 /ml 
Explanation: Ans. is 'c' i.e., If viral load > 1000 /mlA scheduled cesarean delivery (sometimes called a C-section) can reduce the risk of mother-to-child transmission of HIV in women who have a high viral load (more than 1,000 copies/mL) or an unknown viral load near the time of delivery. A cesarean delivery to reduce the risk of mother-to-child transmission of HIV is scheduled for the 38th week of pregnancy, 2 weeks before a woman's expected due date.