Pregnancy and breastfeeding with HIV – Dr. Laura Byrne

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Welcome to your Pregnancy and breastfeeding with HIV – Dr. Laura Byrne

1. Which one of these statements is untrue?

a. Breastfeeding can be supported in women living with HIV

b. Formula milk is provided to all women living with HIV in England

c. The PROMISE study had a vertical infection rate of 3/1000 at six months follow up in both arms

d. Women living with HIV are breastfeeding their infants can, in some circumstances, use additional formula milk

2. Which one of these statements is most true?

a. RCTs in antiretrovirals are required to include pregnant women

b. Pharmacokinetic data in pregnancy is essential for antiretroviral licensing

c. The Antiretroviral Pregnancy Registry is powered to detect increases in the rate of rare birth defects.

d. Cobicistat should not be continued in pregnancy as a pharmacological booster

3. Complete this sentence: 'Dolutegravir is....

a. Associated with rapid viral load decay in pregnancy

b Strongly associated with increased risk of neural tube defects in pregnancy

c. Associated with the highest rates of adverse pregnancy outcomes in the IMPACT 2010 'vVested' trial

d. Not recommended to be given to women presenting late in pregnancy

4. In a woman with a detectable viral load at 36 weeks gestation

a. There is no need to check drug-drug interactions

b. You can plan to give the infant zidvudine monotherapy

c. She will definitely need to deliver by caesarean section

d. You need to assess her adherence and consider psychological support

Time's up