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.