20.2
ART provision at maternity
Clinical HIV Guidelines, 5th Edition, 2022. Chapter 20, Management of labour and delivery.
Clinical description
- Mothers already on ART: continue the same ART regimen at regular prescribed intervals.
Pregnancy / breastfeeding are no indication to change women from any previous ART regimen.
- HIV positive mothers not yet on ART / who interrupted / stopped ART: emergency ART initiation
o Start lifelong TDF/3TC/DTG (Regimen 13A) as soon as possible, during labour or after delivery.
o Deliver individual ART counselling and IEC before discharge.
o Treat women with syphilis as per Malawi STI treatment guidelines.
o See the section on HIV and viral hepatitis on page 61 for management of HIV/viral hepatitis coinfection.
Check doses against the printed guideline and your clinical judgement before treating a patient. Spotted an error? Report it from the contact links below.
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