A woman presents at term pregnancy for first antenatal visit and tests positive for HIV in screening and confirmatory tests. Next step in management is?
Lifelong A is to be initiated in all pregnant women with confirmed HIV infection regardless of WHO clinical stage or CD4 counts. Samples for CD4 counts must be taken before staing A, but there is no need to wait for repos. TDF+3TC+EFV is recommended as first line A in pregnant and breast feeding women, including women in their first trimester and women of childbearing age. (NOTE: EIRENZ IS NOT CONTRAINDICATED IN PREGNANCY)
Sta A after clinical staging
Plan an early delivery and sta A after it
Sta A immediately
Sta A after CD4 counts
Infections in pregnancy