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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://aidsinfo.nih.gov/contentfiles/hivduringpregnancy_cbrochure_en.pdf
HIV During Pregnancy, Labor and Delivery, and After Birth This series of fact sheets is intended for women who are HIV positive and pregnant or have recently given birth. These fact sheets describe the steps an HIV positive pregnant woman can take to preserve her health and prevent transmission of …
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2018/09/Labor%20and%20Delivery%20Management%20of%20Women%20With%20Human%20Immunodeficiency%20Virus%20Infection
Management of Labor and Delivery of HIV-Infected Women. The risk of mother-to-child transmission in HIV-infected women with high viral loads can be reduced by performing cesarean deliveries before the onset of labor and before rupture of membranes (termed scheduled cesarean delivery in this document), in conjunction with the use of peripartum maternal antiretroviral therapy.
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://www.hiv.gov/hiv-basics/hiv-prevention/reducing-mother-to-child-risk/preventing-mother-to-child-transmission-of-hiv
Dec 19, 2018 · An HIV-positive mother can transmit HIV to her baby in during pregnancy, childbirth (also called labor and delivery), or breastfeeding. If you are a woman living with HIV and you are pregnant, treatment with a combination of HIV medicines (called antiretroviral therapy or ART) can prevent transmission of HIV to your baby and protect your health.
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.seaetc.com/wp-content/uploads/2018/01/Labor-Delivery-Management-for-Women-Living-with-HIV.pdf
cesarean delivery or induction is indicated, it should be performed at the standard time for obstetrical indications. • In women with an HIV RNA >1,000 copies/mL or unknown HIV RNA level who present in spontaneous labor or with ruptured membranes, there is insufficient evidence to determine whether cesarean reduces the risk of perinatal HIV
https://www.uptodate.com/contents/hiv-and-pregnancy-beyond-the-basics
LABOR AND DELIVERY WITH HIV. Medications during labor — The HIV drug zidovudine is given through an intravenous catheter when the woman does not have a low amount of HIV in the blood near the time of delivery, regardless of how the woman delivers. In these cases, zidovudine helps to reduce the risk of HIV transmission.
https://www.cdc.gov/hiv/clinicians/prevention/nonsexual-hiv-transmission.html
Oct 22, 2019 · HIV Screening During Pregnancy and Labor/Delivery. Since the first case of pediatric HIV infection was documented in 1984, there have been tremendous medical and public health achievements in preventing mother-to-child transmission of HIV.
https://www.cdc.gov/hiv/guidelines/index.html
Nov 06, 2019 · The Division of HIV/AIDS Prevention (DHAP) within the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) has been at the forefront in developing guidelines on HIV prevention and care with significant national and international impact on …
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