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13 Cards in this Set
- Front
- Back
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What are the goals with treatment of an HIV-infected pregnant women?
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Reduce perinatal HIV transmission
Treat maternal HIV-disease |
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Above what HIV-viral copy number should Cesarean section be recommended, regardless of treatment status?
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1000 copies / ml
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If viral load is undetectable should anti-retroviral therapy still be recommended for an HIV infected pregnant woman?
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Yes
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What is the risk of perinatal transmission of HIV in:
a) untreated gravida b) treated with triple therapy ART |
a) 15-40% (SOGC)
b) 1% |
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What is the risk of perinatal transmission of HIV when the viral load is <400 copies / ml?
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1%
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Is universal HIV screening for all pregnant women recommended?
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Yes - but it is provincially regulated to either "opt-in" or "opt-out"
Alberta is opt-out |
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What is the risk of perinatal HIV transmission in a women untreated during pregnancy but with intrapartum and postpartum treatment?
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15%
(probably lower - 8% - with C/S) |
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True or False:
For an HIV-infected woman, starting ART early in pregnancy leads to decreased perinatal transmission? How long does ART take to achieve optimal viral suppression? |
True.
4-6 months. |
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List worrisome high-risk behaviours that might prompt HIV-rescreening (per trimester)
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Unprotected intercourse:
Multiple sexual partners HIV+ partner High-risk partner Partner from HIV-endemic area IV drug use |
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List the intrapartum regimen for HIV-prophylaxis
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AZT until delivery
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List potential adverse effects of ART antepartum?
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none well proven/accepted.
GDM, FGR, PTL/PTB have all been suggested but data is equivocal. |
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1) When is intrapartum AZT prophylaxis recommended?
2) How long before elective C/S should it be administered? |
1)
viral load > 400 copies/ml unknown viral load 2) 3 hours. |
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What is the recommended length of postpartum infant AZT prophylaxis?
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6 weeks.
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