- Perform routine screening of all pregnant women at the first
- If the patient has had no prenatal care, obtain a rapid HIV test
at the time the patient presents to the hospital in labor.
- Consultation with an HIV specialist.
- Offer mental health and drug abuse resources as well as
behavioral interventions as applicable.
- Assess current disease status with a CD4 cell count and viral
- Initiate antiretroviral treatment during pregnancy.
- Give antibiotic prophylaxis as indicated for opportunistic
infections (as with nonpregnant patients).
- Consider elective C-section in the presence of a high viral
- Intrapartum antiretroviral prophylaxis.
- Avoid fetal scalp electrode, episiotomy, or artificial ROM.
- Wash the baby immediately after birth.
- Counsel to avoid breast-feeding.