A 24-year-old primigravida with HIV serology positive is in the antenatal OPD. CD-4 Count : 600 cells/uLHIV-1 viral load : 2,680 copies/mL Which of the following is the best method of reducing maternal-fetal transmission of HIV infection?
High-Yield Explanation
Combination antiretroviral therapy should be given to the mother throughout pregnancy. This is the best way to suppress maternal HIV and prevent transplacental or perinatal acquisition by the infant. A is given regardless of maternal CD4 count or viral load. Viral load of less than 1000 copies can be delivered vaginally where the cesarean provides no better protection to reduce the Mother to child transmission