Which of these is true for management of labour in HIV positive mother?
Intrapaum management of HIV positive mother: impoant guidelines NOTE: the key is minimal intervention Caesarean section in HIV positive mother should be performed for obstetric indications only Standard/ universal precautions Delay ARM for as long as possible Minimize PV examinations and use aseptic techniques Avoid invasive procedures like fetal blood sampling, fetal scalp electrode Avoid instrumental delivery and if needed, low cavity forceps is preferable to ventouse as it is associated with less fetal trauma Newborn suctioning to be avoided unless there is meconium staining of liquor
LSCS is the preferred method of delivery
Early ARM should be done to detect meconium as these patients are at high risk of fetal distress
If need for instrumental delivery arises, vacuum is better than forceps
Routine suctioning of newborn is to be avoided
Obstetrics