A 23-year-old woman at 12 weeks of gestation attends the GP. Her booking bloods show she is HIV positive, newly diagnosed. She is asymptomatic with a ...

Question

A 23-year-old woman at 12 weeks of gestation attends the GP. Her booking bloods show she is HIV positive, newly diagnosed. She is asymptomatic with a CD4 count of 580 cells/µL. Which is the single most appropriate management?

Accepted Answer

Refer urgently to the HIV multidisciplinary team for initiation of combination antiretroviral therapy

Answer

Defer antiretroviral therapy until the third trimester

Answer

Start antiretrovirals only if CD4 falls below 350 cells/µL

Answer

Plan elective caesarean section regardless of viral load

Answer

Advise termination due to the risk of vertical transmission

uk-drcog MCQ (SBA): HIV in Pregnancy

A 23-year-old woman at 12 weeks of gestation attends the GP. Her booking bloods show she is HIV positive, newly diagnosed. She is asymptomatic with a CD4 count of 580 cells/µL. Which is the single most appropriate management?