Cesarean to reduce mother-to-child transmission of HIV
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Mother-to-child transmission (MTCT) is the major cause of HIV infection in children. In addition to antiretroviral therapy, cesarean delivery prior to rupture of membranes can reduce transmission. However, postpartum morbidity after cesarean section is greater for women with HIV than for women without HIV. Thus, cesarean section is recommended to reduce HIV infection of newborns if HIV viral loads are high. Vaginal delivery is recommended when maternal HIV viral loads are <1,000 copies/mL, because vertical HIV transmission is rare in such cases. Women with HIV should be informed and involved in planning their route of delivery.
Evidence-based practice 14, no. 04 (2011): 12