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https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2018/09/Labor%20and%20Delivery%20Management%20of%20Women%20With%20Human%20Immunodeficiency%20Virus%20Infection
Human immunodeficiency virus testing is an important component of prenatal care and the reader is referred to ACOG Committee Opinion No. 752, Prenatal and Perinatal Human Immunodeficiency Virus Testing: Expanded Recommendations for additional guidance 29. Importantly, rapid screening during labor and delivery or during the immediate postpartum ...
https://www.acog.org/en/Patient%20Resources/FAQs/Pregnancy/HIV%20and%20Pregnancy
Have your baby by cesarean delivery if lab tests show that your level of HIV is high. Take anti-HIV drugs during labor and delivery as needed. Give anti-HIV drugs to your baby after birth. Do not breastfeed. By following these guidelines, 99% of HIV-infected women will not pass HIV to their babies. Why is HIV treatment recommended during pregnancy?
https://www.obgproject.com/2018/09/12/acog-recommendations-for-the-prevention-of-mother-to-child-hiv-during-labor-and-delivery/
ACOG, with endorsement from SMFM, has released a revised committee opinion on the management of labor and delivery in women with HIV. Identification of HIV-infected women is vital as treatment of HIV-infected women with combination antiretroviral therapy (cART) can reduce the risk of mother-to-child transmission to below 1-2% when viral load is 1,000 copies/mL or less near time of delivery.
https://aidsinfo.nih.gov/guidelines/html/3/perinatal/182/transmission-and-mode-of-delivery
Dec 24, 2019 · Basis for Current Recommendations. Scheduled cesarean delivery, defined as cesarean delivery performed before the onset of labor and before rupture of membranes, is recommended for prevention of perinatal transmission of HIV in women with HIV RNA levels >1,000 copies/mL near delivery and for women with unknown HIV RNA levels.
https://www.ncbi.nlm.nih.gov/pubmed/30134427
ACOG Committee Opinion No. 751: Labor and Delivery Management of Women With Human Immunodeficiency Virus Infection. Committee on Obstetric Practice; HIV Expert Work Group. Collaborators: Silverman NS. This Committee Opinion is being revised to provide updated guidance on the management of pregnant women during pregnancy and delivery to prevent ...
https://www.uptodate.com/contents/hiv-and-pregnancy-beyond-the-basics
Delivery method — The safest way for women with HIV to deliver a baby (ie, by vaginal or cesarean delivery), depends upon her HIV viral load during pregnancy. In general, a vaginal delivery is preferred for the safety of both mother and infant if the risk of transmission of HIV is low (when the HIV …
https://www.obgproject.com/2019/01/30/acog-recommendations-when-to-deliver-medically-complicated-pregnancies/
ACOG and SMFM have released guidance on the timing of medically indicated late-preterm and early-term deliveries, based on maternal, fetal and placental complications ... ACOG states; Timing of delivery should be individualized based on prior surgical details (if available) and the clinical situation ... HIV . Intact membranes & viral load ...
https://www.hivguidelines.org/perinatal-hiv-care/hiv-testing-pregnancy-and-delivery/
Have expedited HIV test results available prior to delivery to allow maximum benefits of intrapartum ARV prophylaxis for the fetus; Clinicians should offer and recommend repeat HIV testing during labor and delivery and counsel regarding the use of maternal and infant prophylaxis when the test is reactive for:
https://aidsinfo.nih.gov/guidelines/html/3/perinatal/180/intrapartum-antiretroviral-therapy-prophylaxis
Dec 24, 2019 · Panel's Recommendations for Intrapartum Antiretroviral Therapy/Prophylaxis; Panel's Recommendations Women should continue taking their antepartum antiretroviral therapy (ART) on schedule as much as possible during labor and before scheduled cesarean delivery (AIII).Intravenous (IV) zidovudine (ZDV):
https://journals.lww.com/greenjournal/pages/articleviewer.aspx?year=2018&issue=09000&article=00069&type=Fulltext
Human immunodeficiency virus testing is an important component of prenatal care and the reader is referred to ACOG Committee Opinion No. 752, Prenatal and Perinatal Human Immunodeficiency Virus Testing: Expanded Recommendations for additional guidance . Importantly, rapid screening during labor and delivery or during the immediate postpartum ...
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