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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
close this folderCHAPTER 6: HIV/AIDS AND PREGNANCY
View the document6.1 Introduction
View the document6.2 Mother to Child Transmission of HIV (MTCT)
View the document6.3 Prevention of Mother to Child Transmission of HIV (PMTCT)
close this folder6.4 Antenatal care of women with HIV/AIDS
View the document6.4.1 Care during labour and delivery
View the document6.4.2 Postnatal care of a woman with HIV/AIDS
View the document6.4.3 Follow up for the HIV Exposed Child
View the document6.4.4 Use of prophylactic antiretroviral (ARV) drugs during pregnancy
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

6.4.1 Care during labour and delivery

Care during labour for HIV positive women follows routine practice unless otherwise indicated. Repeated vaginal examinations without clear indications should however be avoided. Prolonged rupture of membranes should also be avoided as mother to child transmission of HIV risk is increased where membranes are ruptured for more than four hours.

Artificial rupture of membranes should not be applied if progress of labour is adequate. Standard precautions should always be applied in managing women in labour. Episiotomy should not be performed routinely, but reserved for those cases with an obstetric indication. Suction of the newborn should only be done when absolutely necessary.

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