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Mother to child transmission
Aug 15, 2010

Dear Doc, Antiretroviral treatment options for HIV-infected pregnant women who are not eligible for treatment of her own? When do start the ARV medication for how long?

Response from Dr. Henry

HIV+ pregnant women should start HIV treatment to minimize risks for vertical transmission independent of whether they otherwise meet treatment guidelines. In US, CD4 count < 500 is threshold for starting HIV meds with > 500 a consideration as well. If your CD4 count is > 500 then I often start HIV meds at the start of the 2nd trimester in order to achieve full suppression and help deal with any side effects of problems well before the time of delivery. KH



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